Individual provider · Type 1 NPI

Derrick Christopher Lake, LCSW

Clinical Social Worker · Decatur, GA

NPI number 1982879490 Active

Practice location

4229 Snapfinger Woods Dr
Decatur, GA 30035-3440

Fax (404) 286-9253

Other practice locations

  • 1050 Crown Pointe Pkwy, Ste. 295, Atlanta, GA 30338-7707 · (866) 325-5434

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW1003152 (GA)

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 1982879490

Derrick Christopher Lake, LCSW's National Provider Identifier is 1982879490, issued on Apr 25, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Decatur, GA. The record was last updated on Mar 17, 2018.