Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Derik Green, MSW, QMHP-T

Individual provider Mental Health Counselor · NPI 1013595776

Mr. Derik Green, MSW, QMHP-T is a Mental Health Counselor in Virginia Beach, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2021
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

291 Independence Blvd Ste 532
Virginia Beach, VA 23462-5473
Phone: (757) 962-6889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 0734002974 (VA)

Record details

NPI number1013595776
Entity typeIndividual (Type 1)
GenderMale
Credentials MSW , QMHP-T
Sole proprietorYes
NPI enumeratedApril 1, 2021
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021

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