IndividualActive
Glen Derra
NPI 1780534834 · Clinical Social Worker · Sanford, NC
Glen Derra is a Clinical Social Worker provider in Sanford, NC (NPI 1780534834).
Provider details
- NPI number
- 1780534834
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- P023351 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
130 Carbonton Rd
Sanford, NC 27330-4009
Phone: (919) 774-6521
Street-level locationGet directions
Mailing address
284 Executive Park Dr Ste 100
Concord, NC 28025-1833
Registry dates
- Enumerated
- 2026-01-29
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Glen Derra's NPI number?
- Glen Derra's National Provider Identifier (NPI) is 1780534834, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Glen Derra's specialty?
- Glen Derra is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Glen Derra located?
- Glen Derra's practice location on file with NPPES is 130 Carbonton Rd, Sanford, NC 27330-4009.
- What is Glen Derra's phone number?
- The practice phone number listed in the NPPES registry for Glen Derra is (919) 774-6521.
- Is Glen Derra's NPI active?
- Yes — Glen Derra's NPI (1780534834) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.