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DEREK A. CRAIN MSW
NPI 1255473831
Social Worker - Clinical in Mountlake Terrace, WA

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043(425) 640-7009(425) 678-6455 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek A. Crain Msw NPPES

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

DEREK A. CRAIN MSW (NPI 1255473831) is an individual clinical provider in Mountlake Terrace, Washington, licensed in Washington (LW00009354) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1255473831
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameDEREK A. CRAINCredential: MSW
Location Address6505 216TH ST SW STE 100Mountlake Terrace, WA 98043-2089
Mailing Address6505 216th St Sw Ste 100Mountlake Terrace, WA 98043-2089 · (425) 640-7009 · Fax (425) 678-6455
Phone(425) 640-7009
Fax(425) 678-6455
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 12, 2007
Last NPPES UpdateNovember 20, 2023
NPPES CertifiedNovember 20, 2023
✔ NPI 1255473831 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 WA · LW00009354✔ Licensed in NV · 10590-C✔ Licensed in TX · 111458✔ Licensed in UT · 13348744-3501✔ Licensed in OH · I.2304933✔ Licensed in OR · L8526✔ Licensed in MN · 32494✔ Licensed in FL · SW21414✔ Licensed in CO · CSW.09929019✔ Licensed in NM · SWB-2023-0376✔ Licensed in IL · 149025864✔ Licensed in ID · LCSW-43728✔ Licensed in AZ · LCSW-21295
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.
6505 216TH ST SW STE 100, Mountlake Terrace, WA 98043
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Derek A. Crain Msw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597880641
PECOS Enrollment IDI20260302000671
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

CHRISTINE GALE MEEKER
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009
LYNN HACKSTAFF LICSW
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009
KRISTEN KATHLEEN BUTLER LICSW
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009
AREALE HAMMOND
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 678-6463
MADISON STEFANSON
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009
BRIAN JOSEPH NUCKOLS
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 678-6463
DR. SONYA RICHARDSON-MCDONALD ED.D
Counselor (Mental Health)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 678-6463
MRS. CRISTEN JANE LUKE LMSW
Social Worker (Clinical)
6505 216TH ST SW STE 100
MOUNTLAKE TERRACE, WA 98043
Snohomish County (425) 640-7009

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 Derek Crain's NPI number?

The NPI number for Derek Crain is 1255473831. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Derek Crain located?

Derek Crain practices at 6505 216th St SW Ste 100, Mountlake Terrace, WA 98043. The listed phone number is (425) 640-7009.

What is Derek Crain's specialty?

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

Is Derek Crain enrolled in Medicare?

Yes. Derek Crain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Derek Crain accept?

Health plans from Blue Cross Blue Shield of Arizona, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Derek Crain 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 Derek Crain was last updated on November 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.