Derrick Christophe Lake in Decatur - Clinical
Derrick Christophe Lake - NPI 1982879490
Derrick Christophe Lake is a Clinical in Decatur, Georgia. Derrick Christophe Lake practices all healthcare services and medical treatments related to Clinical. The NPI Number for Derrick Christophe Lake is 1982879490. The last update date is 2018-03-17.
Derrick Christophe Lake's current location address is 4229 Snapfinger Woods Dr, Decatur, Georgia. You can contact this provider via phone number 4042869252 and fax number 4042869253. The mailing address for Derrick Christophe Lake is 4229 Snapfinger Woods Dr, Decatur, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derrick Christophe Lake |
|---|---|
| Address | 4229 Snapfinger Woods Dr, Decatur, Georgia |
| Phone Number | 4042869252 |
| Fax Number | 4042869253 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1982879490 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 4229 Snapfinger Woods Dr |
|---|---|
| City | Decatur |
| State | Georgia (GA) |
| Post Code | 300353440 |
| Phone Number | 4042869252 |
| Fax Number | 4042869253 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | CSW1003152 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CSW003152 | GA | STATE LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Derrick Christophe Lake by the Centers for Medicare & Medicaid Services?
The Derrick Christophe Lake has been issued the NPI (National Provider Identifier) 1982879490. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Derrick Christophe Lake is physically located?
The Derrick Christophe Lake is physically situated at the following address: 4229 Snapfinger Woods Dr, Decatur, GA, 300353440.
What is Derrick Christophe Lake's area of expertise and its corresponding taxonomy classification?
The Derrick Christophe Lake's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
When did the Derrick Christophe Lake receive its 1982879490?
The Derrick Christophe Lake was issued its 1982879490 on 2008-04-25, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Derrick Christophe Lake, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Derrick Christophe Lake, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-03-17.