MR. DEREK DYKES MOORE LICSW
NPI 1427062165
Social Worker - Clinical in Somerville, MA

Active since July 28, 2006
22 MCGRATH HWY, SOMERVILLE, MA 02143(617) 623-1814(617) 623-1817 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Derek Dykes Moore Licsw NPPES

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

MR. DEREK DYKES MOORE LICSW (NPI 1427062165) is an individual clinical provider in Somerville, Massachusetts, licensed in Massachusetts (113305) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1427062165
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. DEREK DYKES MOORECredential: LICSW
Location Address22 MCGRATH HWYSomerville, MA 02143-4508
Mailing Address10 Bridge StMarblehead, MA 01945-3711 · (617) 893-2231 · Fax (617) 623-1817
Fax(617) 623-1817
Sole ProprietorYes
Enumeration DateJuly 28, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1427062165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MA · 113305
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.
22 MCGRATH HWY, Somerville, MA 02143

Other Providers at the Same Location NPPES 5

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

Optometrist (Occupational Vision)
22 MCGRATH HWY, PEARLE VISION CENTER
SOMERVILLE, MA 02143
Optometrist
22 MCGRATH HWY, PEARLE VISION
SOMERVILLE, MA 02143
Counselor (Mental Health)
22 MCGRATH HWY, TWIN CITY OFFICES SUITE 204
SOMERVILLE, MA 02143
Technician/Technologist (Optician)
22 MCGRATH HWY
SOMERVILLE, MA 02143
Counselor
22 MCGRATH HWY, SUITE 204
SOMERVILLE, MA 02143

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 Moore's NPI number?

The NPI number for Derek Moore is 1427062165. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Derek Moore located?

Derek Moore practices at 22 Mcgrath Hwy, Somerville, MA 02143. The listed phone number is (617) 623-1814.

What is Derek Moore'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 Derek Moore was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.