Candace J Derry , LSW
Counselor • Ravenna, OH
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, Candace Derry has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Candace Derry, LSW was a registered Counselor practicing in Ravenna, OH. Throughout an active medical career spanning 14 years, Candace Derry provided care at the practice location at 520 N CHESTNUT ST until profile deactivation on 2021-11-24.
Practice Location & Contact Primary Location
520 N Chestnut St
Ravenna, OH 442662218
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Ravenna, OH
Practicing in Ravenna, OH (4163 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Licensed Independent Social Worker
Counselor
Counselor
Social Worker
Counselor - Mental Health
Licensed Social Worker
Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on November 24, 2021
NPI status registered as active in NPPES database
Registered at 520 N CHESTNUT ST, RAVENNA, OH 442662218 (Tel: 3302965552)
Registered at 1901 EASTWOOD AVE, AKRON, OH 443051933 (Tel: 3307152609)
Recorded as CANDACE DERRY, LSW
Counselor (License #S17811 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1901 Eastwood Ave
Akron, OH 443051933
Phone: 3307152609
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