Individual provider Active NPI

Derek Anton Morch, LCSW

  • Clinical Social Worker
  • Alexandria, VA
National Provider Identifier
1326472101
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008609 Issued in VA
Practice address
709 Pendleton St
Ste 201
Alexandria, VA 22314-1820
Phone
(703) 755-0260
NPI assigned
Aug 28, 2013
Last updated
Jan 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Clinical Social Worker 1041C0700X 0904008609 VA Primary

Addresses

Primary practice location

709 Pendleton St
Ste 201
Alexandria, VA 22314-1820

Mailing address

5936 4TH St N
Arlington, VA 22203-1113
Phone (571) 265-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200127002085 DC Practitioner - Clinical Social Worker 3870815384 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

709 Pendleton St
Suite 201
Alexandria, VA 22314-1820
Phone (703) 755-0260

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904008609VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Derek Morch LCSW LLC Clinical CurrentSince Dec 7, 2019 Accepting new patients

Locations

709 Pendleton St
Ste 201
Alexandria, VA 22314
Phone (703) 755-0260

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1326472101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5936 4TH ST N",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031113",
            "telephone_number": "571-265-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 PENDLETON ST",
            "address_2": "STE 201",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141820",
            "telephone_number": "703-755-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORCH",
        "first_name": "DEREK",
        "middle_name": "ANTON",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-28",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.