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Derrick L Mason, CDCA

Case Manager/Care Coordinator in Niles, OH. Individual provider (NPI-1).

NPI number1295239291
StatusActive
Last updated in NPPESJan 16, 2026

Details

NPI
1295239291
Entity type
Individual (NPI-1)
Name
Mr. Derrick L Mason
Credential
CDCA
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 23, 2018
Certification date
Jan 16, 2026
Last updated
Jan 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes

Practice location

165 E Park Ave
Niles, OH 44446-2352

Phone 330-544-8005

Mailing address

3207 Tod Ave Nw
Warren, OH 44485-1358

Phone 330-881-0601

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