DERRICK CHRISTOPHER LAKE LCSW
NPI 1982879490
Social Worker - Clinical in Decatur, GA

Q: What is Derrick Lake's NPI number?

The NPI number for Derrick Lake is 1982879490. It was assigned to this individual provider in the NPPES registry on April 25, 2008.

Q: What is Derrick Lake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derrick Lake was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since April 25, 2008PECOS Enrolled

4229 SNAPFINGER WOODS DR, DECATUR, GA 30035(404) 286-9252(404) 286-9253 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Derrick Christopher Lake Lcsw NPPES

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

DERRICK CHRISTOPHER LAKE LCSW (NPI 1982879490) is an individual clinical provider in Decatur, Georgia, licensed in Georgia (CSW1003152) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1982879490

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDERRICK CHRISTOPHER LAKECredential: LCSW

Location Address4229 SNAPFINGER WOODS DRDecatur, GA 30035-3440

Mailing Address4229 Snapfinger Woods DrDecatur, GA 30035-3440 · (404) 286-9252 · Fax (404) 286-9253

Phone(404) 286-9252

Fax(404) 286-9253

Sole ProprietorNo

Enumeration DateApril 25, 2008

Last NPPES UpdateMarch 17, 2018

✔ NPI 1982879490 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 GA · CSW1003152

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.

4229 SNAPFINGER WOODS DR, Decatur, GA 30035

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Secondary Practice Location 1

Location 11050 Crown Pointe Pkwy, Ste. 295Atlanta, GA 30338-7707 · Phone (866) 325-5434 · Fax (866) 325-5340

Other Identifiers 1

OtherCSW003152GA · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick Christopher Lake Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Derrick Lake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Renaissance Counseling Services,llc

5.6 mi

Community/Behavioral Health

691 E. COLLEGE AVE.
Decatur, GA 30031

Reassigned Medicare billing, Georgia enrollment

NPI 1912106568 (770) 256-0421

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30035 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 $56.84 – $172.43

Typical copayment $0.00 (range $14.21 – $43.10)

Most-billed visit code NA

Established Patient

$70.85 typical visit price

range $18.22 – $140.40

Typical copayment $17.71 (range $4.55 – $35.10)

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 8

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

RECOVERY CONSULTANTS OF ATLANTA, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))