MRS. KATHLEEN MARY DEROCHE (NPI# 1528067824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528067824 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN MARY DEROCHE |
| Credential | LCSW |
| Practice Address |
101 N Virginia St Suite 105 Crystal Lake IL 60014-3426 |
| Practice Telephone | 8154774024 |
| Practice Fax Number | 8154774034 |
| Mailing Telephone | 8154774024 |
| Mailing Fax Number | 8154774034 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2007-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | IL | Behavioral Health & Social Service Providers |
| Street Address |
101 N VIRGINIA ST SUITE 105 |
| City | CRYSTAL LAKE |
| State | IL |
| Zip Code | 60014-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821446238 | Rietveld & Associates Counseling, P.C. | Counselor | 101 N Virginia St, Suite 240a, Crystal Lake, IL 60014-3426 | 2016-05-25 |
| 1861836405 | Adam Joseph Rietveld | Counselor | 101 N Virginia St, Ste. 240a, Crystal Lake, IL 60014-3426 | 2013-04-25 |
| 1659642890 | Soft Landings Counseling, Ltd. | Social Worker | 101 N Virginia St, Crystal Lake, IL 60014-3426 | 2012-01-19 |
| 1528337805 | Cathrine Ann White | Social Worker | 101 N Virginia St, Suite 240, Crystal Lake, IL 60014-3426 | 2011-12-15 |
| 1871829598 | Harmony Counseling Services LLC | Community/Behavioral Health | 101 N Virginia St, Suite 115, Crystal Lake, IL 60014-3426 | 2009-10-30 |
| 1013198373 | Frank Morales | Counselor | 101 N Virginia St, Crystal Lake, IL 60014-3426 | 2007-11-15 |
| 1104012731 | Richard S Atwater | Counselor | 101 N Virginia St, Suite 110, Crystal Lake, IL 60014-3426 | 2007-09-18 |
| 1083738694 | Daniel Hanneman | Counselor | 101 N Virginia St, Suite 160, Crystal Lake, IL 60014-3426 | 2007-03-19 |
| 1811038862 | Sarah Jb Orth | Psychologist | 101 N Virginia St, Suite 245, Crystal Lake, IL 60014-3426 | 2007-02-11 |
| 1215091913 | Deborah Saban | Counselor | 101 N Virginia St, Suite 110, Crystal Lake, IL 60014-3426 | 2006-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497394720 | Lorelei Mariano | Physical Therapist | 350 E Congress Parkway Ste A, Crystal Lake, IL 60014 | 2020-01-03 |
| 1396227070 | Behavioral Services for Autism, Inc | Behavioral Analyst | 1095 Pingree Road, Suite 204, Crystal Lake, IL 60014 | 2018-08-30 |
| 1831635564 | Isis Mendoza-garnica | Counselor | 6803 Rose Ave, Crystal Lake, IL 60014 | 2017-01-19 |
| 1134664402 | Derick Dermatology, LLC | Non-Pharmacy Dispensing Site | 525 E Congress Parkway, Suite 200, Crystal Lake, IL 60014 | 2016-12-22 |
| 1306394051 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 177 W Virginia Street, Crystal Lake, IL 60014 | 2016-09-12 |
| 1124492830 | Align Spine & Orthopaedics | Durable Medical Equipment & Medical Supplies | 60 B West Terra Cotta Ave, #265, Crystal Lake, IL 60014 | 2015-11-18 |
| 1558747428 | Shabana Nawaz | Optometrist | 4777 Northwest Highway, Crystal Lake, IL 60014 | 2015-08-03 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1154729838 | Crystal Lake Center for Chronic Pain Sc | Nurse Practitioner | 1 South Northwest Highway, Crystal Lake, IL 60014 | 2014-12-12 |
| 1558763581 | Brooke Nicole Grandt | Occupational Therapist | 394 Heisler Ct, Crystal Lake, IL 60014 | 2014-09-22 |
| Find all providers in zip 60014 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790137156 | Kristina Pomagier | Social Worker | 33 Honeysuckle Ln, Crystal Lake, IL 60014-5023 | 2016-07-11 |
| 1578911152 | Richard Rowland | Social Worker | 1471 Trailwood Dr, Crystal Lake, IL 60014-1969 | 2016-05-24 |
| 1831553122 | Jessica Crawford | Social Worker | 2404 Achilles Ln, Crystal Lake, IL 60014-3939 | 2016-04-12 |
| 1568821585 | Claire Louise Koch | Social Worker | 424 S Oriole Trl, Crystal Lake, IL 60014-5934 | 2016-02-18 |
| 1245609262 | Jessica Enright | Social Worker | 250 Deer Run, Crystal Lake, IL 60012-3680 | 2015-09-21 |
| 1780069682 | Cara Irene Defrisco | Social Worker | 741 Stonebridge Ln, Crystal Lake, IL 60014-8569 | 2015-07-21 |
| 1548649205 | Daniel Okon | Social Worker | 304 Charllote Ave, Crystal Lake, IL 60014 | 2015-05-27 |
| 1205215639 | Amy Lancaster | Social Worker | 533 Cress Creek Ct, Crystal Lake, IL 60014-7055 | 2015-05-18 |
| 1699162396 | Elizabeth Wolf | Social Worker | 3210 Oak Ridge Rd, Crystal Lake, IL 60012-1064 | 2015-04-20 |
| 1801287347 | Pamela Sault | Social Worker | 684 Savannah Ln, Crystal Lake, IL 60014-4572 | 2015-02-05 |
| Find all providers in CRYSTAL LAKE | ||||
| City | CRYSTAL LAKE |
| Zip Code | 60014 |
Please comment or provide details below to improve the information on MRS. KATHLEEN MARY DEROCHE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.