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

Derrik Wise

Individual provider Case Manager/Care Coordinator · NPI 1053988915

Derrik Wise is a Case Manager/Care Coordinator in Taylorsville, Utah. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2

Practice location Address checks out

3809 W 6200 S
Taylorsville, UT 84129-3725
Phone: (888) 949-4864
Show map & directions

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

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1053988915
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2021
Last updated in NPPESNovember 1, 2022
Certification dateNovember 1, 2022
Mailing address4460 S Highland Dr, Salt Lake City, UT 84124-3543

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