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

Elizabeth Anne Derickson, LCSW

Individual provider Clinical Social Worker · NPI 1043528052

Elizabeth Anne Derickson, LCSW is a Clinical Social Worker in Jackson, Missouri. Licensed in Indiana, Missouri and Washington. Registered with an NPI since 2010.

Licensed in
IN, MO, WA
In the registry since
2010
Specialties on file
4
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

181 Lallybroch Ct
Jackson, MO 63755-4145
Phone: (573) 837-0928
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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 2012003258 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW61133188 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 34007903A (IN)
Social Worker Taxonomy 104100000X · Licence 2010013148 (MO)

Record details

NPI number1043528052
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedSeptember 24, 2010
Last updated in NPPESDecember 2, 2025
Certification dateDecember 2, 2025

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