DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATHLEEN MARY DEROCHE, LCSW

Active Sole Proprietor

MRS. KATHLEEN MARY DEROCHE, LCSW is a Social Worker healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1528067824 is currently active in the NPPES registry. Verify at CMS.

Social Worker · CRYSTAL LAKE, IL

Registration Details

NPI Number
1528067824
Provider Type
Individual
Gender
Female
NPI Issued
Jul 19, 2005 (21.053985607688 yrs)
Last Updated
Aug 15, 2007
Sole Proprietor
Yes

Practice Information

Address
101 N VIRGINIA ST
SUITE 105
CRYSTAL LAKE, IL, 600143426
Browse IL providers · Browse ZIP 60014
Phone
8154774024
Fax
8154774034
Primary Specialty
Social Worker
104100000X

Other Social Worker Providers in CRYSTAL LAKE, IL

Name Credential NPI
JAMES MESSERSCHMIDT LCSW 1497754683
STEVEN P RUSCHEINSKI LCSW 1770582801
LESSI J SMEBAKKEN LCSW 1609875616
MRS. ELLEN FAYE ERLICHMAN LCSW 1932288115
MR. GARY G GRUEBNAU LSW MASTERS 1295873859
MR. STEVEN M CAFCULES 1689824831
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.