DERRICK CHRISTOPHER LAKE


Address: 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440
Phone: 4042869252

DERRICK CHRISTOPHER LAKE (NPI# 1982879490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982879490
Entity Type Individual
Full Name DERRICK CHRISTOPHER LAKE
Credential LCSW
Practice Address 4229 Snapfinger Woods Dr
Decatur
GA 30035-3440
Practice Telephone 4042869252
Practice Fax Number 4042869253
Mailing Telephone 4042869252
Mailing Fax Number 4042869253
Enumeration Date 2008-04-25
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
CSW1003152 GA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
GA STATE LICENSE CSW003152 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1050 Crown Pointe Pkwy, Ste. 295, Atlanta, GA 303387707 8663255434 8663255340

Office Location

Street Address 4229 SNAPFINGER WOODS DR
City DECATUR
State GA
Zip Code 30035-3440

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528033735 Vangeleen C Ware Nurse Practitioner 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 2006-02-21
1467089409 Cassandra Collins Social Worker 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 2020-03-26
1982251500 Melvenia W. Marable Social Worker 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 2019-08-19
1710460605 Necha Shani Matthews Nurse Practitioner 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 2018-09-07
1053769273 Recovery Consultants of Atlanta, Inc. Clinic/Center 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 2016-05-27
1811382492 Talonda Hall Nurse Practitioner 4229 Snapfinger Woods Dr, Decatur, GA 30035-3440 2015-04-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972079978 James L Vinson, Phd Home Health Aide 4050 Snapfinger Woods Drive, Suite 201, Decatur, GA 30035 2018-10-17
1417445206 Kamla Gonzales Nurse Practitioner 5146 Miller Woods Trl, Decatur, GA 30035 2018-04-26
1578924924 Alicia Marie Johnson Bryant Social Worker 5878 Covington Hwy, Decater, GA 30035 2016-03-14
1568865756 Tracy Roberson Counselor 4150 Snapfinger Woods Drive, Decatur, GA 30035 2014-10-01
1972927861 Tyrone D. Lane Enterprises, Incorporated Psychologist 5304 Panola Industrial Boulevard, Suite L, Decatur, GA 30035 2014-02-12
1013255355 Mervin E Williams Pharmacist 2075 South Hairston, Decatur, GA 30035 2013-01-22
1205187572 Mariana Simpson-walker Speech-Language Pathologist 4262 Clausell Ct Ste A, Decatur, GA 30035 2012-09-27
1053683854 Jimiesh G Crane Dentist 5243 Snapfinger Woods Dr Ste 105, Decatur, GA 30035 2012-02-08
1568765824 Salih Robinson Health Educator 2511 Lantrac Ct, Decatur, GA 30035 2010-12-08
1831428234 Thomas Counseling Counselor 3781 Presidential Parkway, Suite 111c, Chamblee, GA 30035 2009-12-14
Find all providers in zip 30035

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922613785 Healing Minds, Helping Hearts, LLC Social Worker 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 2020-09-09
1750999710 Torquesia Smith Social Worker 3904 N Druid Hills Rd Ste 243, Decatur, GA 30033-3105 2020-07-16
1760002836 Renee Ann Hall-george Social Worker 235 E Ponce De Leon Ave Ste 227, Decatur, GA 30030-3412 2020-04-19
1831721067 Shelly-anne Johnson Social Worker 2205 Green Forrest Dr, Decatur, GA 30032-7165 2020-02-05
1871130096 Mark Loren Kiefer Social Worker 2719 Mount Olive Dr, Decatur, GA 30033-2928 2019-12-06
1639715782 Nadine Coleen Oldham Social Worker 2785 Lawrenceville Hwy Ste 205, Decatur, GA 30033-2515 2019-11-25
1881235133 Marybeth Ann Peters Social Worker 1457 Clairmont Rd, Decatur, GA 30033-5362 2019-10-07
1720635782 Caitlin Virginia Rattigan Social Worker 245 E Trinity Pl Unit 1260, Decatur, GA 30030-3487 2019-08-23
1700448644 Danna Lipton Social Worker 209a Swanton Way Ste 102, Decatur, GA 30030-3271 2019-07-01
1023673647 Candace E Guthery Social Worker 16 Moulton St E, Decatur, AL 35601-2310 2019-05-08
Find all providers in DECATUR

Competitor

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City DECATUR
Zip Code 30035

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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