IndividualActive
Michael Deranek, MSW, LSW, CSAYP
NPI 1639611775 · Social Worker · Goshen, IN
Provider details
- NPI number
- 1639611775
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LSW, CSAYP
- Sex
- Male
- Sole proprietor
- No
- License
- 33006940A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
62226 County Road 15
Goshen, IN 46526-9438
Phone: (574) 875-5117
Fax: (574) 875-5284
Street-level locationGet directions
Mailing address
62226 County Road 15
Goshen, IN 46526-9438
Registry dates
- Enumerated
- 2016-11-07
- Last updated
- 2016-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.