Individual
MR. DENNIS LEE DERBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW CSAC
Contact information
Practice address
780 LYNNHAVEN PKWY, SUITE 400 ATLANTIC PSYCHIATRIC SERVICES, VIRGINIA BEACH, VA 23452-7332
(757) 468-0550
(757) 468-9992
Mailing address
780 LYNNHAVEN PKWY, SUITE 400, VIRGINIA BEACH, VA 23452-7332
(757) 468-0550
(757) 468-9992
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC
VA
101YM0800X
Mental Health Counselor
LCSW
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183809
ANTHEM PPO BCBS
VA
01
—
86080M
SENTARA OPTIMA
VA
Enumeration date
04/06/2006
Last updated
09/11/2025
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