Individual provider · Type 1 NPI
Derek Ellis Clark, LCSW
Clinical Social Worker · Fairfax, VA
Practice location
4100 Monument Ct Unit 204
Fairfax, VA 22033-2878
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 0904013710 (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 1710632278
Derek Ellis Clark, LCSW's National Provider Identifier is 1710632278, issued on Feb 14, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfax, VA. The record was last updated on Nov 17, 2023.