Organization
PIVOTAL INSIGHT CLINICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERRICK WILLIAM JACK LCSW (OWNER)
(502) 269-4066
Entity
Organization
Contact information
Practice address
1400 MAIN ST STE 196, CLARKSVILLE, IN 47129-3121
(502) 269-4066
Mailing address
1400 MAIN ST STE 196, CLARKSVILLE, IN 47129-3121
(502) 269-4066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/18/2026
Last updated
06/04/2026
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