Individual
MR. DEREK S. CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, MSN, PMHNP-BC
Contact information
Practice address
28 BOX ST APT N219, BROOKLYN, NY 11222-5585
(929) 683-3320
(866) 275-8660
Mailing address
16 WILLIAMS BLVD APT 1D, LAKE GROVE, NY 11755-2413
(631) 747-8121
(866) 275-8660
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
086771
NY
1041C0700X
Clinical Social Worker
084067
NY
163WP0808X
Psychiatric/Mental Health Registered Nurse
744382
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03482717
—
NY
01
—
1184445835
TYPE 2 NPI - ORGANIZATION
NY
01
—
13545756
CAQH ID #
NY
Enumeration date
08/28/2012
Last updated
11/24/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us