Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derek Dana Pazolt

Individual provider Clinical Social Worker · NPI 1568002228

Derek Dana Pazolt is a Clinical Social Worker in Brockton, Massachusetts. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in Massachusetts.

Years since qualifying
5
Licensed in
MA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

56 Cherry St
Brockton, MA 02301-2608
Phone: (508) 580-0801
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 680 Centre St, Brockton, MA 02302-3308 — (508) 941-7000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LICSW1121478 (MA)
Social Worker Taxonomy 104100000X

Record details

NPI number1568002228
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 10, 2020
Last updated in NPPESNovember 14, 2025
Certification dateNovember 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Brockton