Individual provider · Type 1 NPI

Jed E. Derrickson, LCSW-C

Clinical Social Worker · Salisbury, MD

NPI number 1164518668 Active

Practice location

505 E Main St, Q
Salisbury, MD 21804-5020

Mailing address

RR 2, Box 155A
Dagsboro, DE 19939

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X09463 (MD)
Clinical Social Worker 1041C0700XQ10000744 (DE)

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 1164518668

Jed E. Derrickson, LCSW-C's National Provider Identifier is 1164518668, issued on Oct 4, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Salisbury, MD. The record was last updated on Oct 18, 2016.