Individual provider · Type 1 NPI
Derick T. Mukom
Case Manager/Care Coordinator · Glenn Dale, MD
Practice location
6911 Fountain Park Dr
Glenn Dale, MD 20769-9484
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | None listed |
| Community Health Worker | 172V00000X | None listed |
Case Manager/Care Coordinator: 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-e…
2 other providers at this address
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About NPI 1013892074
Derick T. Mukom's National Provider Identifier is 1013892074, issued on Aug 8, 2025. The primary taxonomy on file is Case Manager/Care Coordinator (171M00000X), and the practice location is in Glenn Dale, MD. The record was last updated on Oct 23, 2025.