Individual
DERRICK THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5612 BLAINE ST NE, WASHINGTON, DC 20019-6767
(202) 500-6843
Mailing address
4015 ALABAMA AVE SE, WASHINGTON, DC 20020-6013
(227) 206-9827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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