Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497469480 Individual Practitioner Male Practitioner

Derek Anthony Clark

Case Manager/Care Coordinator • Philadelphia, PA

Professional Overview & Biography Verified Profile Summary

Derek Clark is a registered healthcare professional specializing in Case Manager/Care Coordinator in Philadelphia, PA. Practice services are available at 1235 SPRING GARDEN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1235 Spring Garden St

Philadelphia, PA 191233206

Telephone 2157693561
Associated Practice Facility / Clinic
🏢 Bebashi Transition To Hope Facility NPI 1487935805

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Philadelphia, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
441 Specialists

Practicing in Philadelphia, PA (1557 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-13
Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1024869940002 (PA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Raemarie Coleman , BA CRIMINAL JUSTICE

Case Manager/Care Coordinator

NPI 1003550823

BACRIMINALJUSTICE

Luis Montalvo , MASTER OF EDUCATION

Case Manager/Care Coordinator

NPI 1013685627

MASTEROFEDUCATION

Darrius Joseph

Case Manager/Care Coordinator

NPI 1023968989
Tanya Wright , BSW

Case Manager/Care Coordinator

NPI 1033494232

Bachelor of Social Work

NPI 1073753547

Master of Social Work, Licensed Social Worker

Laura Gillis , BACHELOR OF SCIENCE

Case Manager/Care Coordinator

NPI 1083292353

BACHELOROFSCIENCE

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 13, 2023

Registered at 1235 SPRING GARDEN ST, PHILADELPHIA, PA 191233206 (Tel: 2157693561)

📍
Updated Business Mailing Address January 13, 2023

Registered at 1235 SPRING GARDEN ST, PHILADELPHIA, PA 191233206 (Tel: 2157693561)

👤
Provider Name / Credentials Updated January 13, 2023

Recorded as DEREK CLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 13, 2023

Case Manager/Care Coordinator

🟢
Initial NPI Registration & Enumeration January 13, 2023

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: 1497469480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 13, 2023
Last Update: January 13, 2023
Sole Proprietor: No

Mailing Address

1235 Spring Garden St

Philadelphia, PA 191233206

Phone: 2157693561

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.