About
Derek Ellis Clark is a Clinical Social Worker in Fairfax, Virginia. Contact Derek Ellis Clark to request his Medicare information, payment methods he accepts, or to book an appointment.
Basic Data
Entity Type: Individual; Sole Proprietor
Gender
Male
Years in Practice
2 years
Healthcare Provider Taxonomy
- Code: 1041C0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Social Worker
- Specialization: Clinical
Credentials
- Licensed Clinical Social Worker (LCSW)
Licenses
Name | License Number | State |
---|---|---|
LCSW | 0904013710 Verify | VA |
Practice Locations
4100 Monument Ct Unit 204
Fairfax, VA 22033-2878
Phone Number: (571) 393-2424