Individual ProviderDerreck HerronCase Manager/Care CoordinatorOther Service ProvidersPractice AddressUmbrella Therapeutic Services, 3300 Pennsylvania Ave, Se, Washington D. C., DC 20020(202) 878-6626(703) 883-7245PECOS EnrollmentBased on the most recent information from CMS, provider Derreck Herron does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1629778972Provider TypeIndividualFull NameHerron, DerreckGenderMaleSole ProprietorYesEnumeration Date3/6/2023Last Updated6/7/2023Contact InformationPractice LocationPractice AddressUmbrella Therapeutic Services, 3300 Pennsylvania Ave, Se, Washington D. C., DC 20020Phone(202) 878-6626FaxUnlisted FaxMailing LocationMailing Address16926 Porters Inn Dr Unit 303, Dumfries, VA 22026-2575Phone(703) 883-7245FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode172V00000XDescriptionCommunity Health WorkerOther Service ProvidersLicenseUnlisted Issuer