Derek Witzke, LLMSW
NPI 1104600626ActiveIndividual· Social Worker, Clinical· Cadillac, MI
Social Worker, Clinical (LLMSW) in Cadillac, Michigan, licensed in MI, with an NPI issued in August 2023. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1104600626 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLMSW |
| Sole proprietor | No |
| NPI issued | Aug 24, 2023 |
| Last updated in NPPES | Sep 10, 2026 |
| Certified by provider | Sep 10, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801123020 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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