IndividualActive
Derrick Lake, LCSW
NPI 1982879490 · Clinical Social Worker · Decatur, GA
Provider details
- NPI number
- 1982879490
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- No
- License
- CSW1003152 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(92/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 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
4229 Snapfinger Woods Dr
Decatur, GA 30035-3440
Phone: (404) 286-9252
Fax: (404) 286-9253
Street-level locationGet directions
Mailing address
4229 Snapfinger Woods Dr
Decatur, GA 30035-3440
Additional practice locations (1)
- 1050 Crown Pointe PkwySte. 295Atlanta, GA 30338-7707Phone: (866) 325-5434Fax: (866) 325-5340
Registry dates
- Enumerated
- 2008-04-25
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.