Individual provider · Type 1 NPI

Kelly Derr, LCSW

Clinical Social Worker · Mokena, IL

NPI number 1912468927 Active

Practice location

9435 Bormet Dr Ste 5
Mokena, IL 60448-7401

Mailing address

425 N Broadway St
Coal City, IL 60416-1044

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149016583 (IL)

Clinical Social Worker: 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 interpers…

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About NPI 1912468927

Kelly Derr, LCSW's National Provider Identifier is 1912468927, issued on Mar 31, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mokena, IL. The record was last updated on Mar 31, 2019.