Individual provider · Type 1 NPI

Derek Smith

Clinical Social Worker · Vista, CA

NPI number 1629983358 Active

Practice location

314 S Melrose Dr Ste 100
Vista, CA 92081-6669

Mailing address

2879 Rancho Cortes
Carlsbad, CA 92009-3035

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X122876 (CA)

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 1629983358

Derek Smith's National Provider Identifier is 1629983358, issued on Aug 17, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Vista, CA. The record was last updated on Aug 17, 2026.