Individual provider · Type 1 NPI

Christy Ann Derolus, LCSW

Clinical Social Worker · Brockton, MA

NPI number 1114688207 Active

Practice location

149 Kevin Rd
Brockton, MA 02302-1331

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XLCSW2140872 (MA)
School Social Worker 1041S0200XLCSW2140872 (MA)
Clinical Social Worker Primary 1041C0700XLCSW2140872 (MA)

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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About NPI 1114688207

Christy Ann Derolus, LCSW's National Provider Identifier is 1114688207, issued on Jan 1, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Brockton, MA. The record was last updated on Apr 27, 2026.