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

Mrs. Mallory Derrick, BA

Individual provider Clinical Social Worker · NPI 1376977330

Mrs. Mallory Derrick, BA is a Clinical Social Worker in Nashville, Tennessee. Qualified in 2015, 11 years ago. Practices as a sole proprietor. Licensed in Minnesota.

Years since qualifying
11
Licensed in
MN
In the registry since
2013
What do these letters mean?
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

2410 Charlotte Ave
Nashville, TN 37203-1517
Phone: (615) 321-2575
Fax: (615) 327-4536
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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 1376977330 (MN)

Record details

NPI number1376977330
Entity typeIndividual (Type 1)
GenderFemale
Credentials BA
Sole proprietorYes
NPI enumeratedAugust 27, 2013
Last updated in NPPESApril 9, 2026
Certification dateApril 9, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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