CHANDRIKA MONIQUE DERRICHO (NPI# 1538615596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538615596 |
| Entity Type | Individual |
| Full Name | CHANDRIKA MONIQUE DERRICHO |
| Credential | LCSW |
| Practice Address |
140 Cambridge Way Covington GA 30016-4943 |
| Practice Telephone | 4046440224 |
| Mailing Telephone | 4046440224 |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2018-11-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW006585 | GA | Behavioral Health & Social Service Providers |
| Street Address |
140 CAMBRIDGE WAY |
| City | COVINGTON |
| State | GA |
| Zip Code | 30016-4943 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013565605 | Katrina Williams | Case Manager/Care Coordinator | 220 Meadowidge Dr, Covington, GA 30016 | 2019-08-28 |
| 1407322134 | Mali Rice | Registered Nurse | 105 Syracuse Lane, Covington, GA 30016 | 2018-10-20 |
| 1619452927 | Angelina Jones | Contractor | 290 Piedmont Circle, Covington, GA 30016 | 2018-10-02 |
| 1881116721 | Springhill Manor Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 600 Spring Hill Drive, Covington, GA 30016 | 2017-07-12 |
| 1922538529 | Tisha Owes | Home Health | 110 Trinity Dr, Covington, GA 30016 | 2017-06-15 |
| 1053868695 | Delhia Assanah IIi | Counselor | 101 Kirkland Road, Covington, GA 30016 | 2016-09-01 |
| 1760834295 | Resurgens East Surgery Center, LLC | Clinic/Center | 3241 Iris Dr, Suite 100, Covington, GA 30016 | 2016-07-08 |
| 1528443371 | Latoya N Wright | Counselor | 100 Winnstead Place, Covington, GA 30016 | 2015-07-22 |
| 1598157307 | Sierra Private Homecare, Inc. | Adult Companion | 75 Cinnamon Oak Circle, Covington, GA 30016 | 2015-03-03 |
| 1326391079 | Lana Abiola Fraser | Nurse's Aide | 840 Oakhill Road, Covington, GA 30016 | 2012-10-18 |
| Find all providers in zip 30016 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144870817 | Catreshia Brundage | Social Worker | 40 Brighton Ridge Ln, Covington, GA 30016-6626 | 2019-09-16 |
| 1073010856 | Jennifer Rhea Dudley | Social Worker | 221 N Monroe Ave, Covington, VA 24426-1409 | 2018-04-09 |
| 1104369602 | Angela Webb Deem | Social Worker | 104 Sherry May St, Covington, VA 24426-6000 | 2016-12-01 |
| 1568904365 | Aundretta Wood | Social Worker | 200 Colser Dr, Covington, GA 30016-0991 | 2016-11-09 |
| 1023481447 | Abg LLC | Social Worker | 50 E Rivercenter Blvd, Suite 416, Covington, KY 41011-1683 | 2015-11-06 |
| 1932596673 | Dawn Gritten | Social Worker | 318 4th St Ste B, Covington, IN 47932-1275 | 2015-04-21 |
| 1104222454 | Melissa Patrick | Social Worker | 5108 Newton Dr Ne, Covington, GA 30014-2678 | 2014-11-14 |
| 1619376704 | Lawrence W Schwarz | Social Worker | 208 N Tyler St, Covington, LA 70433-1456 | 2014-08-14 |
| 1366858557 | Shannon Rebecca Russell | Social Worker | 434 Scott Blvd, Life Point Solutions, Covington, KY 41011 | 2014-07-08 |
| 1730427105 | Dale Ellen Standifer | Social Worker | 20050 Medus St, Covington, LA 70435-0162 | 2013-01-20 |
| Find all providers in COVINGTON | ||||
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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.