MR. DERRICK PAUL WALLACE
NPI 1184275802
Social Worker - Clinical in Lexington, KY

Active since September 24, 2019
2375 PROFESSIONAL HEIGHTS DR STE 240, LEXINGTON, KY 40503(855) 591-0092 Get Directions Write a Review

NPPES record last updated: September 24, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Derrick Paul Wallace NPPES

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

MR. DERRICK PAUL WALLACE (NPI 1184275802) is an individual clinical provider in Lexington, Kentucky and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1184275802
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DERRICK PAUL WALLACE
Location Address2375 PROFESSIONAL HEIGHTS DR STE 240Lexington, KY 40503-3040
Mailing Address2275 Robinson Renaker RdBerry, KY 41003-8521 · (859) 699-0090
Sole ProprietorNo
Enumeration DateSeptember 24, 2019
NPI 1184275802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
2375 PROFESSIONAL HEIGHTS DR STE 240, Lexington, KY 40503

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2375 PROFESSIONAL HEIGHTS DR STE 240
LEXINGTON, KY 40503
Case Manager/Care Coordinator
2375 PROFESSIONAL HEIGHTS DR STE 240
LEXINGTON, KY 40503
Case Manager/Care Coordinator
2375 PROFESSIONAL HEIGHTS DR STE 240
LEXINGTON, KY 40503

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 Derrick Wallace's NPI number?

The NPI number for Derrick Wallace is 1184275802. It was assigned to this individual provider in the NPPES registry on September 24, 2019.

Where is Derrick Wallace located?

Derrick Wallace practices at 2375 Professional Heights Dr Ste 240, Lexington, KY 40503. The listed phone number is (855) 591-0092.

What is Derrick Wallace's specialty?

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

When was this NPI record last updated?

The NPPES record for Derrick Wallace was last updated on September 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.