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DERRICK KENNEDY
NPI 1255922118
Case Manager/Care Coordinator in San Rafael, CA

Active since February 02, 2021
1089 LEA DR, SAN RAFAEL, CA 94903(510) 368-0651 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick Kennedy NPPES

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

DERRICK KENNEDY (NPI 1255922118) is an individual case manager/care coordinator provider in San Rafael, California and active in the NPI registry since February 2021. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1255922118
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDERRICK KENNEDY
Location Address1089 LEA DRSan Rafael, CA 94903-3746
Mailing Address1089 Lea DrSan Rafael, CA 94903-3746 · (510) 368-0651
Phone(510) 368-0651
Sole ProprietorYes
Enumeration DateFebruary 2, 2021
Last NPPES UpdateSeptember 15, 2023
NPPES CertifiedSeptember 15, 2023
✔ NPI 1255922118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1089 LEA DR, San Rafael, CA 94903
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Secondary Practice Locations 2

Location 15751 Adeline StOakland, CA 94608-2815 · Phone (510) 368-0651
Location 251 Elda DrSan Rafael, CA 94903-3723 · Phone (510) 368-0651

Other Providers at the Same Location NPPES 5

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

QUEST PROGRAMS, INC.
Residential Treatment Facility, Emotionally Disturbed Children
1089 LEA DR
SAN RAFAEL, CA 94903
Marin County (510) 467-4250
ALEXANDRA KARAGOSIAN
Case Manager/Care Coordinator
1089 LEA DR
SAN RAFAEL, CA 94903
Marin County (510) 467-4250
AL CHARLESTON TAYLOR
Social Worker
1089 LEA DR
SAN RAFAEL, CA 94903
Marin County (510) 575-1179
MELVYN MAHON II JD
Case Manager/Care Coordinator
1089 LEA DR
SAN RAFAEL, CA 94903
Marin County (510) 200-8993
MONA MOKRI
Case Manager/Care Coordinator
1089 LEA DR
SAN RAFAEL, CA 94903
Marin County (415) 306-8184

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 Derrick Kennedy's NPI number?

The NPI number for Derrick Kennedy is 1255922118. It was assigned to this individual provider in the NPPES registry on February 2, 2021.

Where is Derrick Kennedy located?

Derrick Kennedy practices at 1089 Lea Dr, San Rafael, CA 94903. The listed phone number is (510) 368-0651.

What is Derrick Kennedy's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Derrick Kennedy was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.