MADALYN MARIE DERRICK LCSW
NPI 1174254619
Social Worker - Clinical in Cornelius, NC

Active since June 23, 2022
8206 VILLAGE HARBOR DR, CORNELIUS, NC 28031(407) 803-2390 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madalyn Marie Derrick Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADALYN MARIE DERRICK LCSW (NPI 1174254619) is an individual clinical provider in Cornelius, North Carolina, licensed in North Carolina (C018606) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1174254619
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMADALYN MARIE DERRICKCredential: LCSW
Location Address8206 VILLAGE HARBOR DRCornelius, NC 28031-3706
Mailing Address8206 Village Harbor DrCornelius, NC 28031-3706 · (407) 803-2390
Sole ProprietorYes
Enumeration DateJune 23, 2022
Last NPPES UpdateJuly 22, 2025
NPPES CertifiedJuly 22, 2025
NPI 1174254619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in NC · C018606 Licensed in NC · P017676
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.
8206 VILLAGE HARBOR DR, Cornelius, NC 28031

Other Names 1

Former Name (1)Madalyn Marie Kostur

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madalyn Derrick's NPI number?

The NPI number for Madalyn Derrick is 1174254619. It was assigned to this individual provider in the NPPES registry on June 23, 2022. The provider is also known as Madalyn Marie Kostur.

Where is Madalyn Derrick located?

Madalyn Derrick practices at 8206 Village Harbor Dr, Cornelius, NC 28031. The listed phone number is (407) 803-2390.

What is Madalyn Derrick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Madalyn Derrick accept?

Health plans from Blue Cross and Blue Shield of NC list Madalyn Derrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madalyn Derrick was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.