What is Derek Clark's NPI number?

Derek Clark's National Provider Identifier (NPI) is 1710632278, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Derek Clark's specialty?

Derek Clark is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).

Where is Derek Clark located?

Derek Clark's practice location on file with NPPES is 4100 Monument Ct Unit 204, Fairfax, VA 22033-2878.

What is Derek Clark's phone number?

The practice phone number listed in the NPPES registry for Derek Clark is (571) 393-2424.

Is Derek Clark's NPI active?

Yes — Derek Clark's NPI (1710632278) is active in the NPPES registry as of the last update on 2023-11-17.

IndividualActive

Derek Clark, LCSW

NPI 1710632278 · Clinical Social Worker · Fairfax, VA

Derek Clark, LCSW is a Clinical Social Worker provider in Fairfax, VA (NPI 1710632278).

Provider details

NPI number: 1710632278
Entity type: Individual
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Credential: LCSW
Sex: Male
Sole proprietor: Yes
License: 0904013710 (VA)

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700XLicense 0904013710 (VA)
Behavioral Health & Social Service Providers

Profile Score

Established profile(61/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
4 yrs in NPPES registry
Profile completeness38% of score
100% 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

4100 Monument Ct Unit 204

Fairfax, VA 22033-2878

Phone: (571) 393-2424

Street-level locationGet directions

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Mailing address