Search › Indiana › Clinical Social Worker
Derrick Jack, LCSW
NPI 1265096994 · on the registry since 2019
Practice
- Address
- 2627 Charlestown Rd
New Albany, IN 47150 - Phone
- (812) 944-1550
- Organisation at this address
- Associates In Counseling And Psychtherapy
Associates In Counseling And PsychotherapyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 24
Additional practice sites
- 425 Watt St, Jeffersonville, IN
- 1400 Main St. Ste 196, Clarksville, IN
Registry record
- Primary taxonomy
- Clinical Social Worker
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana