IndividualActive
Derrick Wallace
NPI 1184275802 · Clinical Social Worker · Lexington, KY
Derrick Wallace is a Clinical Social Worker provider in Lexington, KY (NPI 1184275802).
Provider details
- NPI number
- 1184275802
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2375 Professional Heights Dr Ste 240
Lexington, KY 40503-3040
Phone: (855) 591-0092
Street-level locationGet directions
Mailing address
2275 Robinson Renaker Rd
Berry, KY 41003-8521
Registry dates
- Enumerated
- 2019-09-24
- Last updated
- 2019-09-24
Frequently asked questions
- What is Derrick Wallace's NPI number?
- Derrick Wallace's National Provider Identifier (NPI) is 1184275802, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Wallace's specialty?
- Derrick Wallace is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Derrick Wallace located?
- Derrick Wallace's practice location on file with NPPES is 2375 Professional Heights Dr Ste 240, Lexington, KY 40503-3040.
- What is Derrick Wallace's phone number?
- The practice phone number listed in the NPPES registry for Derrick Wallace is (855) 591-0092.
- Is Derrick Wallace's NPI active?
- Yes — Derrick Wallace's NPI (1184275802) is active in the NPPES registry as of the last update on 2019-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.