Elizabeth Anne Derickson, LCSW
NPI 1043528052ActiveIndividual· Social Worker, Clinical· Jackson, MO
Social Worker, Clinical (LCSW) in Jackson, Missouri, licensed in MO, WA and IN, with an NPI issued in September 2010.
Overview
| NPI | 1043528052 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Sep 24, 2010 |
| Last updated in NPPES | Dec 2, 2025 |
| Certified by provider | Dec 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 2012003258 | MO |
| Social Worker, Clinical | 1041C0700X | LW61133188 | WA |
| Social Worker, Clinical | 1041C0700X | 34007903A | IN |
| Social Worker | 104100000X | 2010013148 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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