Individual provider · Type 1 NPI
Elizabeth Anne Derickson, LCSW
Clinical Social Worker · Jackson, MO
Practice location
181 Lallybroch Ct
Jackson, MO 63755-4145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 2012003258 (MO) |
| Clinical Social Worker | 1041C0700X | LW61133188 (WA) |
| Clinical Social Worker | 1041C0700X | 34007903A (IN) |
| Social Worker | 104100000X | 2010013148 (MO) |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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- Nicole Leanne Horrell, PLCSWClinical Social Worker Jackson, MO NPI 1366779688
- Samuel Duer, LCSWClinical Social Worker Jackson, MO NPI 1376662304
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About NPI 1043528052
Elizabeth Anne Derickson, LCSW's National Provider Identifier is 1043528052, issued on Sep 24, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MO. The record was last updated on Dec 2, 2025.