Michael S. Deranek, MSW, LSW, CSAYP
Social Worker in Goshen, IN. Individual provider (NPI-1).
NPI number1639611775
StatusActive
Last updated in NPPESNov 7, 2016
Details
- NPI
- 1639611775
- Entity type
- Individual (NPI-1)
- Name
- Michael S. Deranek
- Credential
- MSW, LSW, CSAYP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2016
- Last updated
- Nov 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 33006940A | IN | Yes |
Practice location
62226 County Road 15Goshen, IN 46526-9438
Phone 574-875-5117 · Fax 574-875-5284
Mailing address
62226 County Road 15Goshen, IN 46526-9438
Phone 574-875-5117 · Fax 574-875-5284
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All 31 Social Worker providers in Goshen · All 1,111 providers in Goshen
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