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MR. DERRICK SKINNER SR. LCSW
NPI 1992034672
Social Worker in Saint Louis, MO

Active since December 09, 2009
12647 OLIVE BLVD, STE 600, SAINT LOUIS, MO 63141(800) 325-3982(877) 685-9880 Get Directions Write a Review

NPPES record last updated: February 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Derrick Skinner Sr. Lcsw NPPES

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

MR. DERRICK SKINNER SR. LCSW (NPI 1992034672) is an individual social worker in Saint Louis, Missouri, licensed in Nebraska (1041) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1992034672
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. DERRICK SKINNER SR.Credential: LCSW
Location Address12647 OLIVE BLVD, STE 600Saint Louis, MO 63141-6393
Mailing AddressUsa Meddac, 11050 Mount Belvedere BlvdFort Drum, NY 13602-5438 · (315) 772-3173
Phone(800) 325-3982
Fax(877) 685-9880
Sole ProprietorYes
Enumeration DateDecember 9, 2009
Last NPPES UpdateFebruary 16, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1992034672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Licenses✔ Licensed in NE · 1041✔ Licensed in NE · 2406
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 2406 (NE), 1041 (NE)
12647 OLIVE BLVD, Saint Louis, MO 63141
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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.

MS. RUTH SUSAN ROSENSTEIN LCSW
Behavior Analyst
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (180) 032-5398
SHARON DUCKWORTH
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (520) 682-3182
MS. CAROL JO TALIAFERRO LCSW
Social Worker (Clinical)
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (314) 744-4100
DR. WILLIAM CONNOR PH.D.
Psychologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (877) 984-8285
MR. ROBERT FRED VANDEBORNE
Radiologic Technologist
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
MS. DENISE TAYLOR DARDEN NNP
Nurse Practitioner (Neonatal)
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982
MRS. AUDREY MARY HYLAND CRNA
Registered Nurse
12647 OLIVE BLVD
SAINT LOUIS, MO 63141
St. Louis County (314) 744-4247
MARK NEUENSCHWANDER
Family Medicine
12647 OLIVE BLVD, SUITE 600
SAINT LOUIS, MO 63141
St. Louis County (800) 325-3982

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 Skinner's NPI number?

The NPI number for Derrick Skinner is 1992034672. It was assigned to this individual provider in the NPPES registry on December 9, 2009.

Where is Derrick Skinner located?

Derrick Skinner practices at 12647 Olive Blvd Ste 600, Saint Louis, MO 63141. The listed phone number is (800) 325-3982.

What is Derrick Skinner's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

When was this NPI record last updated?

The NPPES record for Derrick Skinner was last updated on February 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.