Search › Maryland › Case Manager/Care Coordinator
Derick Mukom
NPI 1013892074 · on the registry since 2025 · sole proprietor
Practice
- Address
- 6911 Fountain Park Dr
Glenn Dale, MD 20769 - Phone
- (832) 988-8970
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Case Manager/Care Coordinator
171M00000X
- Also registered as
- Community Health Worker
- Sex
- Male
- Record last updated
- 2025-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland