MS. ANNE DYNA DERIVAL LCSW
NPI 1578715967
Social Worker - Clinical in Jacksonville, FL

NPI Status: Active since October 16, 2008

Contact Information

4161 CARMICHAEL AVE
BLDG 3300, SUITE 150
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 396-8734
Fax: (904) 396-8759

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  • Individual
  • Female
  • Social Worker
  • Clinical

About ANNE DERIVAL

This page provides the complete NPI Profile along with additional information for Anne Derival, a provider established in Jacksonville, Florida with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1578715967 assigned on October 2008. The practitioner's primary taxonomy code is 1041C0700X with license number 10027 (FL). The provider is registered as an individual and her NPI record was last updated 14 years ago.

NPI
1578715967
Provider Name
MS. ANNE DYNA DERIVAL LCSW
Gender
Female
Entity Type
Individual
Location Address
4161 CARMICHAEL AVE BLDG 3300, SUITE 150 JACKSONVILLE, FL 32207
Location Phone
(904) 396-8734
Location Fax
(904) 396-8759
Mailing Address
1601 SW ARCHER RD GAINESVILLE, FL 32608
Mailing Phone
(904) 396-8734
Mailing Fax
(904) 396-8759
Is Sole Proprietor?
No
Enumeration Date
10-16-2008
Last Update Date
10-17-2011
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A clinical social worker like Anne Derival is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
10027
License State
FL
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1578715967
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2514814110912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 4 + 1 + 1 + 0 + 9 + 1 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1578715967 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427379585 SANJAE E EDWARDS LCSW
Individual
Social Worker (Clinical)4161 CARMICHAEL AVE 140
JACKSONVILLE, FL 32207
(904) 527-3300
1710223912 CHRISTOPHER R HERVEY
Individual
Social Worker (Clinical)4161 CARMICHAEL AVE BLDG. 3300 SUITE 150
JACKSONVILLE, FL 32207
(904) 396-8750
1609116557 SIBBIE MCCARY
Individual
Social Worker4161 CARMICHAEL AVE 3300 BUILDING, SUITE 150
JACKSONVILLE, FL 32207
(904) 396-8737
1174804017 JOANNA SCHNEIDER ARNP
Individual
Nurse Practitioner (Family)4161 CARMICHAEL AVE BUILDING 3300, SUITE 152
JACKSONVILLE, FL 32207
(904) 396-3770
1821385303 ANDREA LONG
Individual
Social Worker4161 CARMICHAEL AVE 3300 BUILDING, SUITE 150
JACKSONVILLE, FL 32207
(904) 396-8750
1184067530 STEPHANIE PILKINTON LCSW
Individual
Social Worker (Clinical)4161 CARMICHAEL AVE
JACKSONVILLE, FL 32207
(352) 264-7399

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578715967, enumerated in the NPI registry as an "individual" on October 16, 2008

The provider is located at 4161 Carmichael Ave Bldg 3300, Suite 150 Jacksonville, Fl 32207 and the phone number is (904) 396-8734

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on October 16, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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