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Dereck Wolfgram

LCSW,SAC-IT

Social Worker

NPI: 1174093744Hartland, Wisconsin, 53029(262) 404-4049Male
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About Dereck Wolfgram

Dereck Wolfgram, LCSW,SAC-IT, is a male healthcare professional specializing in Social Worker, registered under National Provider Identifier (NPI) number 1174093744. Dereck Wolfgram received his medical education at OTHER, graduating in 2017.

Their primary practice is located at 555 S INDUSTRIAL DR, Hartland, Wisconsin 53029. Patients can reach the office at (262) 404-4049. Dereck Wolfgram is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.

Dereck Wolfgram has been NPI-registered since 2018.

Key Metrics

Practice Locations

1

Doctor Details

Identity & Credentials

NPI Number
1174093744
Entity Type
Individual
First Name
Dereck
Last Name
Wolfgram
Credential
LCSW,SAC-IT
Gender
Male
Medical School
OTHER
Graduation Year
2017
Sole Proprietor
Yes
Status
active

Primary Practice Location

Address
555 S INDUSTRIAL DR
City
Hartland
State
Wisconsin
ZIP
53029-2338
Country
United States
Phone
(262) 404-4049

Specialty & Taxonomy

Primary Specialty
Social Worker
Classification
Social Worker
Taxonomy Code
104100000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
555 S INDUSTRIAL DR
City
HARTLAND
State
WI
ZIP
530292338

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Dereck Wolfgram's NPI number?
Dereck Wolfgram's National Provider Identifier (NPI) is 1174093744. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Dereck Wolfgram specialize in?
Dereck Wolfgram specializes in Social Worker. They received their medical education at OTHER (class of 2017).
Where is Dereck Wolfgram located?
Dereck Wolfgram practices at 555 S INDUSTRIAL DR, Hartland, Wisconsin 53029. You can reach them by phone at (262) 404-4049.
Does Dereck Wolfgram accept Medicare?
Yes, Dereck Wolfgram is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Dereck Wolfgram offer telehealth or virtual visits?
Dereck Wolfgram does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Dereck Wolfgram is 1174093744.