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MR. JEFFREY MICHAEL DEROCHE LCSW
NPI 1205275047
Social Worker - Clinical in New York, NY

Active since June 14, 2013Opted out of Medicare · through Jan 6, 2028
230 W 17TH ST, FIFTH FLOOR, NEW YORK, NY 10011(212) 271-7200 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 1, 2016, Aug 18, 2016, Mar 18, 2016 (3 updates tracked since 2016).

About Mr. Jeffrey Michael Deroche Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY MICHAEL DEROCHE LCSW (NPI 1205275047) is an individual clinical provider in New York, New York, licensed in New York (73 084674) and active in the NPI registry since June 2013. He has opted out of Medicare through January 6, 2028.

NPPES Registry Identity

NPI1205275047
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. JEFFREY MICHAEL DEROCHECredential: LCSW
Location Address230 W 17TH ST, FIFTH FLOORNew York, NY 10011-5325
Mailing Address162 Washington Park, Apt. 4Brooklyn, NY 11205-3234 · (917) 280-6440
Phone(212) 271-7200
Sole ProprietorYes
Enumeration DateJune 14, 2013
Last NPPES UpdateSeptember 1, 20163 updates tracked since enumeration
✔ NPI 1205275047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NY · 73 084674
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
230 W 17TH ST, New York, NY 10011
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Jeffrey Michael Deroche Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 6, 2024 through January 6, 2028.

Opt-Out Effective DateJanuary 6, 2024
Opt-Out In Effect ThroughJanuary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH PHILLIPS SALTZMAN MD
Family Medicine
230 W 17TH ST
NEW YORK, NY 10011
New York County (212) 206-5200
CINDY JOHANNA SAENZ LEIVA MD
Family Medicine
230 W 17TH ST
NEW YORK, NY 10011
New York County (212) 206-5200
JULIE SCHOONOVER MD
Family Medicine
230 W 17TH ST
NEW YORK, NY 10011
New York County (212) 206-5200
JESSICA SHVARTS LCSW
Social Worker (Clinical)
230 W 17TH ST
NEW YORK, NY 10011
New York County (212) 206-5200
HALLIE MCCAFFERTY
Nurse Practitioner (Psychiatric/Mental Health)
230 W 17TH ST
NEW YORK, NY 10011
New York County (212) 206-5200
DR. ROBERT SCHILLER MD
Family Medicine
230 W 17TH ST
NEW YORK, NY 10011
New York County (212) 206-5200
MS. SONYA DERAIN MOORE LMSW
Social Worker
230 W 17TH ST
NEW YORK, NY 10011
New York County (212) 212-6330
SOPHIE GOTTESMAN
Student in an Organized Health Care Education/Training Program
230 W 17TH ST
NEW YORK, NY 10011
New York County (212) 206-5200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Deroche's NPI number?

The NPI number for Jeffrey Deroche is 1205275047. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is Jeffrey Deroche located?

Jeffrey Deroche practices at 230 W 17th St Fifth Floor, New York, NY 10011. The listed phone number is (212) 271-7200.

What is Jeffrey Deroche's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeffrey Deroche enrolled in Medicare?

No. Jeffrey Deroche has opted out of Medicare through January 6, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jeffrey Deroche accept?

Health plans from Blue Cross and Blue Shield of NC list Jeffrey Deroche as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Deroche was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.