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

Mr. Derek Dykes Moore, LICSW

Individual provider Clinical Social Worker · NPI 1427062165

Mr. Derek Dykes Moore, LICSW is a Clinical Social Worker in Somerville, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location Address checks out

22 McGrath Hwy
Somerville, MA 02143-4508
Phone: (617) 623-1814
Fax: (617) 623-1817
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 113305 (MA)

Record details

NPI number1427062165
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedJuly 28, 2006
Last updated in NPPESJuly 8, 2007

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