MR. DENNIS LEE DERBAUM LCSW CSAC NPI 1558324137

NPI Information

NPI: 1558324137
Provider Name: MR. DENNIS LEE DERBAUM, LCSW CSAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
780 LYNNHAVEN PKWY
SUITE 400 ATLANTIC PSYCHIATRIC SERVICES
VIRGINIA BEACH, VA
ZIP 23452
Phone: (757) 468-0550
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MR. Dennis Lee Derbaum, LCSW CSAC is an addiction (substance use disorder) counselor in Virginia Beach, VA. MR. Dennis Lee Derbaum, LCSW CSAC NPI is 1558324137. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

780 LYNNHAVEN PKWY
SUITE 400 ATLANTIC PSYCHIATRIC SERVICES
VIRGINIA BEACH, VA
ZIP 23452-332
Phone: (757) 468-0550
Fax: (757) 468-9992

The enumeration date for this NPI number is 4/6/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CSAC	VIRGINIA	Yes
2	101YM0800X	Counselor	Mental Health	LCSW	VIRGINIA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	86080M	OTHER	VIRGINIA	SENTARA OPTIMA
2	183809	OTHER	VIRGINIA	ANTHEM PPO BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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