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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GLEN ALLEN DERRA

Active

GLEN ALLEN DERRA is a Clinical Social Worker healthcare provider located in SANFORD, North Carolina. NPI 1780534834 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · SANFORD, NC

Registration Details

NPI Number
1780534834
Provider Type
Individual
Gender
Male
NPI Issued
Jan 29, 2026 (0.52461629841445 yrs)
Last Updated
Jan 29, 2026
License
P023351 (NC)

Practice Information

Address
130 CARBONTON RD
SANFORD, NC, 273304009
Browse NC providers · Browse ZIP 27330
Phone
9197746521
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in SANFORD, NC

Name Credential NPI
LINDA ANNETTE SMITH LCSW 1831179720
LAUREEN BELLE THOMAS LCSW 1083651608
PHYLLIS H. LEAKE LCSW 1104831528
MR. RODNEY C JONES M.S.W.,L.C.S.W. 1720191935
MS. JANET A CHEEK MSW LCSW 1275625311
PATRICIA ANN HAYS LISW-CP 1003974130
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.