IndividualActive
Derrick Jack, LCSW
NPI 1265096994 · Clinical Social Worker · New Albany, IN
Derrick Jack, LCSW is a Clinical Social Worker provider in New Albany, IN (NPI 1265096994).
Provider details
- NPI number
- 1265096994
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- 34012719A (IN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
2627 Charlestown Rd
New Albany, IN 47150-2536
Phone: (812) 944-1550
Street-level locationGet directions
Mailing address
1400 Main St. Ste 196
Clarksville, IN 47129-3121
Additional practice locations (2)
- 1400 Main St. Ste 196Clarksville, IN 47129Phone: (502) 269-4066
- 425 Watt StJeffersonville, IN 47130-3957Phone: (812) 944-1550
Registry dates
- Enumerated
- 2019-04-29
- Last updated
- 2026-05-18
- Certified
- 2026-05-18
Frequently asked questions
- What is Derrick Jack's NPI number?
- Derrick Jack's National Provider Identifier (NPI) is 1265096994, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Jack's specialty?
- Derrick Jack is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Derrick Jack located?
- Derrick Jack's practice location on file with NPPES is 2627 Charlestown Rd, New Albany, IN 47150-2536.
- What is Derrick Jack's phone number?
- The practice phone number listed in the NPPES registry for Derrick Jack is (812) 944-1550.
- Is Derrick Jack's NPI active?
- Yes — Derrick Jack's NPI (1265096994) is active in the NPPES registry as of the last update on 2026-05-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.