Derrick A. Conley LCSW
Clinical Social Worker in Yakima, WA(View on Map)
Full Name
Derrick A Conley LCSW
NPI Number
1538311410
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/22/2008
Specialties
(Taxonomies)Code
1041C0700X
101Y00000X
101YM0800X
Primary Taxonomy
Yes
No
No
Licenses
State
Washington
Washington
Washington
License Number
LW60366681
RC00058614
SC60113117
Contact
Information
Purpose
Mailing
Location
Address
1705 S 24TH AVE
1705 S 24TH AVE
City
Yakima
Yakima
State
WA
WA
Postal Code
98902-5720
98902-5720
Country
US
US
Telephone Number
(509) 775-6589
(509) 775-6589
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/28/2022