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

MS. Anne Dyna Derival, LCSW

Individual provider Clinical Social Worker · NPI 1578715967

MS. Anne Dyna Derival, LCSW is a Clinical Social Worker in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
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

4161 Carmichael Ave Bldg 3300 Ste 150
Jacksonville, FL 32207-2353
Phone: (904) 396-8734
Fax: (904) 396-8759
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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 10027 (FL)

Record details

NPI number1578715967
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 16, 2008
Last updated in NPPESOctober 17, 2011

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