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

Mr. Derrick Skinner Sr., LCSW

Individual provider Social Worker · NPI 1992034672

Mr. Derrick Skinner Sr., LCSW is a Social Worker in Saint Louis, Missouri. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2009
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

12647 Olive Blvd Ste 600
Saint Louis, MO 63141-6393
Phone: (800) 325-3982
Fax: (877) 685-9880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 1041 (NE)
Social Worker Taxonomy 104100000X · Licence 2406 (NE)
Clinical Social Worker Taxonomy 1041C0700X · Licence 2406 (NE)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1041 (NE)

Record details

NPI number1992034672
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedDecember 9, 2009
Last updated in NPPESFebruary 16, 2022
Certification dateFebruary 3, 2022

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