DERRICK ALLEN PORTER (MSW) – Clinical Social Worker, NPI 1245517341

DERRICK ALLEN PORTER (MSW) is a healthcare provider. based in Merrillville, Indiana. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW. They hold a License No. 34006954A (IN). The NPI Number for DERRICK ALLEN PORTER (MSW) is 1245517341

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DERRICK ALLEN PORTER (MSW)
NPI
1245517341
Phone
(219) 757-1928
Address
8400 LOUISIANA ST
Enumeration Date
3 November 2011
Last Update Date
17 April 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2197361000
Graduation Year
2005 (21 years ago)
PAC ID
1153544366
Group Practice PAC ID
7416082086
Professional Enrollment ID
I20140515001098
Address ID
IN464104787ME7725XBROA202
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

1,711 CLINICAL SOCIAL WORKER in IN

Provider Addresses for DERRICK ALLEN PORTER (MSW)

  • 8400 LOUISIANA ST

    MERRILLVILLE, IN 464106385

    Phone: (219) 757-1928

    Fax: (219) 757-1950

    Type: Mailing

  • 1441 E 84TH PL

    MERRILLVILLE, IN 464106451

    Phone: (219) 794-2000

    Fax: (219) 794-2010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-05-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140515001098IClinical Social WorkerINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour24154$0
90834Psychotherapy, 45 minutes11711$0
90791Psychiatric diagnostic evaluation2020$0
View full utilization report →

Insurance plans in this area (ZIP 46410)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416082086View full group profile
NameSpecialtyState
Clinical PsychologistIN
Mental Health CounselorIN
Clinical PsychologistIL
-IL
Clinical PsychologistIN
Clinical PsychologistIN

Reviews

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Frequently asked questions

Can I use this page to confirm DERRICK ALLEN PORTER (MSW)'s NPI?
Yes. DERRICK ALLEN PORTER (MSW) is listed with NPI 1245517341 in the public NPI dataset.
Does CMS list DERRICK ALLEN PORTER (MSW) as active?
Yes — DERRICK ALLEN PORTER (MSW) is active in the NPI listing used on this page.
What is DERRICK ALLEN PORTER (MSW)'s primary classification?
Clinical Social Worker is the headline specialty for DERRICK ALLEN PORTER (MSW) here. Clinical services aligned with this taxonomy classification.
What area does DERRICK ALLEN PORTER (MSW) serve?
DERRICK ALLEN PORTER (MSW)'s listing highlights Merrillville, Indiana; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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