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

Mr. Derrik Richard Haithcock Sr., LCDCLLL

Individual provider Case Manager/Care Coordinator · NPI 1922598143

Mr. Derrik Richard Haithcock Sr., LCDCLLL is a Case Manager/Care Coordinator in Bainbridge, Ohio. Licensed in Ohio. Registered with an NPI since 2018.

Licensed in
OH
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1071 Tong Hollow Rd
Bainbridge, OH 45612-1500
Phone: (740) 634-3094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LCDCIII.161470 (OH)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1922598143
Entity typeIndividual (Type 1)
GenderMale
Credentials LCDCLLL
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESApril 10, 2019

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