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

Glen Allen Derra

Individual provider Clinical Social Worker · NPI 1780534834

Glen Allen Derra is a Clinical Social Worker in Sanford, North Carolina. Licensed in North Carolina. Registered with an NPI since 2026.

Licensed in
NC
In the registry since
2026

Practice location Address checks out

130 Carbonton Rd
Sanford, NC 27330-4009
Phone: (919) 774-6521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P023351 (NC)

Record details

NPI number1780534834
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026

Other providers in Sanford