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

Mrs. Kathleen C. Derise, LCSW

Individual provider Clinical Social Worker · NPI 1629089248

Mrs. Kathleen C. Derise, LCSW is a Clinical Social Worker in Newport News, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12695 McManus Blvd Bldg 8
Newport News, VA 23602-4435
Phone: (757) 877-7700
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 0904000534 (VA)

Record details

NPI number1629089248
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedAugust 10, 2006
Last updated in NPPESJuly 8, 2007

Other providers in Newport News