Individual provider · Type 1 NPI

Derrick Jack, LCSW

Clinical Social Worker · New Albany, IN

NPI number 1265096994 Active

Practice location

2627 Charlestown Rd
New Albany, IN 47150-2536

Call (812) 944-1550 Map

Mailing address

1400 Main St. Ste 196
Clarksville, IN 47129-3121

Other practice locations

  • 425 Watt St, Jeffersonville, IN 47130-3957 · (812) 944-1550
  • 1400 Main St. Ste 196, Clarksville, IN 47129 · (502) 269-4066

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34012719A (IN)

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 1265096994

Derrick Jack, LCSW's National Provider Identifier is 1265096994, issued on Apr 29, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New Albany, IN. The record was last updated on May 18, 2026.