Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DERRICK JACK, LSW
ActiveDERRICK JACK, LSW is a Social Worker healthcare provider located in NEW ALBANY, Indiana. NPI 1265096994 is currently active in the NPPES registry. Verify at CMS.
Social Worker · NEW ALBANY, IN
Registration Details
- NPI Number
- 1265096994
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 29, 2019 (7.3044527123336 yrs)
- Last Updated
- Apr 29, 2019
- License
-
33008477A (IN)
Practice Information
- Address
-
2627 CHARLESTOWN RDNEW ALBANY, IN, 471502536Browse IN providers · Browse ZIP 47150
- Phone
- 8129441550
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in NEW ALBANY, IN
| Name | Credential | NPI |
|---|---|---|
| MS. WENDY I WILLIS | LCSW | 1477559334 |
| STACIE ROST | L.S.W. | 1528171055 |
| DR. JAMES VAUGHN BROCK JR. | MDIV., PSYD., L.S.W. | 1750485850 |
| MRS. AMY JO LINDSEY | LCSW | 1740332204 |
| MS. DANA RAE THOMAS | MSW | 1578763777 |
| PAULINE ELIZABETH PHILLIPS | CSW, LMFT | 1710168828 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.