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

Derrel Jeffrey, LCSW

Individual provider Clinical Social Worker · NPI 1497827836

Derrel Jeffrey, LCSW is a Clinical Social Worker in Waco, Texas. Qualified in 2006, 20 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
20
Licensed in
TX
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

345 Owen Ln Ste 122
Waco, TX 76710-5583
Phone: (254) 218-2389
Fax: (855) 396-2470
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 35597 (TX)

Record details

NPI number1497827836
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedNovember 14, 2006
Last updated in NPPESAugust 8, 2020
Certification dateAugust 8, 2020
Mailing address4906 Lake Englewood Dr, Waco, TX 76710-2938

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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