Active NPIIndividual providerSole proprietor

Ms. Gail Derivan, LCSW

Social Worker, Clinical in Montclair, New Jersey

NPI Number1518113026
Practice location
207 Bellevue Ave, Montclair, NJ 07043-1884
Fax
—
Last updated
August 15, 2008

Gail Derivan is a Social Worker, Clinical based in Montclair, NJ. Gail Derivan practices in Montclair, NJ and has the professional credentials of LCSW. The NPI Number for Gail Derivan is 1518113026 and holds a License No. 44SC01294900 (NJ). The current practice location address for Gail Derivan is 207 Bellevue Ave, Montclair, NJ 07043-1884 and can be reached out via phone at 862-596-7816.

Provider Profile Details

NPI Number
1518113026
Provider Name
Gail Derivan
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
207 Bellevue Ave, Montclair, NJ 07043-1884
Phone Number
862-596-7816
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
August 15, 2008
Last Update Date
August 15, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
207 Bellevue Ave
Montclair, NJ 07043-1884
Zip
07043-1884
Phone Number
862-596-7816
Montclair, NJ 07043Get directions →

Provider Business Mailing Address Details

Address
29 Frederick St
Montclair, NJ 07042-4105
City
Montclair
State
NJ
Zip
07042-4105
Phone Number
973-746-5758

License Information

License Number
44SC01294900
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Gail Derivan, LCSW?

The NPI number of Ms. Gail Derivan, LCSW is 1518113026. It was assigned on August 15, 2008 and is currently active in the NPPES registry.

What is the specialty of Ms. Gail Derivan, LCSW?

Ms. Gail Derivan, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC01294900.

Where does Ms. Gail Derivan, LCSW practice?

The practice location is 207 Bellevue Ave, Montclair, NJ 07043-1884. The office can be reached at 862-596-7816 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518113026 directly on the NPPES registry website.

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