Derrick Jack LSW

  • NPI 1265096994
According to our database, the NPI number for Derrick Jack LSW is 1265096994 and activated since 5 years ago. Derrick Jack LSW is an individual provider who specializes in Social Worker, and the primary practice location is 2627 Charlestown Rd, New Albany, IN 47150. You can also contact Derrick Jack LSW via telephone number is (812) 944-1550. Provider NPI information was last updated on 04/29/2019.

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Overview of Derrick Jack LSW

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/29/2019
  • Last updated: 04/29/2019

Primary Scrop of Practice

  • Taxonomy Code: 104100000X
  • Specialty: Social Worker
  • License Number: 33008477A
  • License State: IN

Provider Mailing Address

  • Address: 2008 Elder Park Rd
    La Grange, KY 40031
  • Phone:
  • Fax:

Provider Practice Location

  • Address: 2627 Charlestown Rd
    New Albany, IN 47150
  • Phone: 812-944-1550
  • Fax:

Scope of Practice

  • Taxonomy Code: 104100000X
  • Specialty: Social Worker
  • License Number: 33008477A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Derrick Jack LSW?
  • A: The npi number for Derrick Jack LSW is 1265096994.
  • Q: What are Derrick Jack LSW's specialties?
  • A: Derrick Jack LSW's specialties are Social Worker and different specialities.
  • Q: What is the medical license for Derrick Jack LSW?
  • A: The medical license number for Derrick Jack LSW is 33008477A and issued in IN in USA.
  • Q: Where is Derrick Jack LSW practice location?
  • A: Derrick Jack LSW is practicing at 2627 Charlestown Rd, New Albany, IN 47150.
  • Q: How to contact Derrick Jack LSW?
  • A: You can contact Derrick Jack LSW via 812-944-1550.
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