Healthcare Provider Details

I. General information

NPI: 1013844901
Provider Name (Legal Business Name): DERIK RICE LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9963 SPOTSWOOD TRL
STANARDSVILLE VA
22973-2982
US

IV. Provider business mailing address

9963 SPOTSWOOD TRL
STANARDSVILLE VA
22973-2982
US

V. Phone/Fax

Practice location:
  • Phone: 434-220-6603
  • Fax: 434-939-9211
Mailing address:
  • Phone: 434-220-6603
  • Fax: 434-939-9211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904020428
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: