Individual provider · Type 1 NPI

Derrick E. Felton, MSW

Student in an Organized Health Care Education/Training Program · Dorchester, MA

NPI number 1679682314 Active

Practice location

12 Southern Ave
Dorchester, MA 02124-2012

Call (650) 299-0672 Map

Mailing address

14636 Saturn Dr
San Leandro, CA 94578-1345

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X19049 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1679682314

Derrick E. Felton, MSW's National Provider Identifier is 1679682314, issued on Aug 29, 2006. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dorchester, MA. The record was last updated on Oct 18, 2023.