Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Derek John Black

Individual provider Case Manager/Care Coordinator · NPI 1679231237

Derek John Black is a Case Manager/Care Coordinator in Logan, Utah. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

475 W 1465 N Apt 103
Logan, UT 84341-6619
Phone: (435) 851-3813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1679231237
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 1, 2021
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021
Mailing address475 W 1465 N Apt 103, Logan, UT 84341-6619

Other providers in Logan