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

Individual provider Clinical Social Worker · NPI 1174254619

Madalyn Marie Derrick, LCSW is a Clinical Social Worker in Cornelius, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2022
Specialties on file
2
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

8206 Village Harbor Dr
Cornelius, NC 28031-3706
Phone: (407) 803-2390
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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 C018606 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence P017676 (NC)

Record details

NPI number1174254619
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 23, 2022
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025

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