DERRICK A PLEDGER (NPI# 1417556432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417556432 |
| Entity Type | Individual |
| Full Name | DERRICK A PLEDGER |
| Credential | CDCA |
| Practice Address |
3500 Carnegie Ave Cleveland OH 44115-2641 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.171595 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3500 CARNEGIE AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386622934 | Kevin James Williamson | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2006-01-04 |
| 1720689573 | Johnna Miska | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1962003723 | Lori Musarra | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1861093700 | Leah Popkin | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1700486487 | Gina M Branco | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-30 |
| 1770183659 | Hannah B Vertal | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-29 |
| 1255930285 | Jessica Raye Yeager | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-21 |
| 1588263859 | Kaeley Doyle | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-19 |
| 1225636822 | Erica J. Tapia-mateo | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-15 |
| 1518565456 | Anna Kay Seballos | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1154966745 | Edith Davis-fletcher | Counselor | 2400 Greenvale Rd, Cleveland, OH 44121-1116 | 2019-11-07 |
| 1285278283 | Lavetta Louise Jonesprice | Counselor | 3830 E 131st St, Cleveland, OH 44120-4664 | 2019-11-01 |
| Find all providers in CLEVELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.