Derek Morch LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DEREK MORCH LCSW LLC

Practice address

709 Pendleton St Ste 201
Alexandria, VA 22314-1820

Phone

(703) 755-0260

NPI assigned

Dec 2, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Derek Anton Morch, LCSWNPI 1326472101

Title

Owner

Phone

(703) 755-0260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Anton Morch, LCSW

  • Clinical Social Worker
  • Alexandria, VA
  • NPI 1326472101

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1114564887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 PENDLETON ST STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141820",
            "telephone_number": "703-755-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 PENDLETON ST STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141820",
            "telephone_number": "703-755-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEREK MORCH LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-02",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "MORCH",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-755-0260",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.