Individual provider · Type 1 NPI

Kathleen C. Derise, LCSW

Clinical Social Worker · Newport News, VA

NPI number 1629089248 Active

Practice location

12695 Mcmanus Blvd, Bldg. 8
Newport News, VA 23602-4435

Call (757) 877-7700 Map

Mailing address

205 Lakewood Park Dr
Newport News, VA 23602-6261

Specialties and licenses

Taxonomy	Code	License
Clinical Social Worker Primary	1041C0700X	0904000534 (VA)

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 1629089248

Kathleen C. Derise, LCSW's National Provider Identifier is 1629089248, issued on Aug 10, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Newport News, VA. The record was last updated on Jul 8, 2007.