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Deactivated NPI 1336658301 Deactivated / Inactive NPI Male Practitioner

Derek Doss

Social Worker - Clinical • Boardman, OH

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Derek Doss has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2017
NPI Deactivation Date October 26, 2023
Total Practice Duration ~2 Years of Practice (2021 – 2023)

Professional Overview & Biography Verified Profile Summary

Derek Doss was a registered Social Worker - Clinical practicing in Boardman, OH. Throughout an active medical career spanning 2 years, Derek Doss provided care at the practice location at 960 BOARDMAN CANFIELD RD until profile deactivation on 2023-10-26.

Derek Doss was affiliated with Starz Counseling, Llc and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

960 Boardman Canfield Rd

Boardman, OH 445124220

Telephone 3302598813
Fax 3302702690
Associated Practice Facility / Clinic
🏢 Prescribed Services, Llc Facility NPI 1740672930

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Boardman, OH

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -7.6 yrs vs City Avg
City Avg: 12.6 Yrs
State Avg: 17.9 Yrs
Regional Practice Density
17 Specialists

Practicing in Boardman, OH (10077 Statewide)

Telehealth Adoption Rate
5.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Doss (5 Years) 5 Yrs
Boardman Specialty Average (12.6 Years) 12.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-10-06
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Definition to come...

Hospital & Practice Group Affiliations

Starz Counseling, Llc

25 N Canfield Niles Rd, Austintown, OH 445152308

Phone: 3303011545

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Margaret Skelton

Counselor - Addiction (Substance Use Disorder)

NPI 1043722234
Michele Messner

Counselor - Addiction (Substance Use Disorder)

NPI 1316457294
NPI 1326709874

Bachelor of Social Work, Licensed Social Worker

Susan Zoky , LPN

Licensed Practical Nurse

NPI 1346770450

Licensed Practical Nurse

Jeffrey Grace , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1366951832

Chemical Dependency Counselor Assistant

Mia Bonilla , LPN

Licensed Practical Nurse

NPI 1366971434

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🔄
NPI Profile Reactivated November 08, 2023

Record officially reactivated for active practice on November 08, 2023

⚠️
NPI Profile Deactivated October 26, 2023

Record deactivated on October 26, 2023

📍
Updated Business Mailing Address October 06, 2020

Registered at 5760 PATRIOT BLVD, AUSTINTOWN, OH 445151170 (Tel: 3302598813)

NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2017

Registered at 960 BOARDMAN CANFIELD RD, BOARDMAN, OH 445124220 (Tel: 3302598813)

📍
Updated Business Mailing Address September 21, 2017

Registered at 98 WESTCHESTER DR, AUSTINTOWN, OH 445153901 (Tel: 3302598813)

👤
Provider Name / Credentials Updated September 21, 2017

Recorded as DEREK DOSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Counselor

🟢
Initial NPI Registration & Enumeration September 21, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336658301
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2017
Last Update: November 08, 2023
Deactivation Date: October 26, 2023
Sole Proprietor: Yes

Mailing Address

5760 Patriot Blvd

Austintown, OH 445151170

Phone: 3302598813

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.