MRS. KATHLEEN MARY DEROCHE LCSW
NPI 1528067824
Social Worker in Crystal Lake, IL

Active since July 19, 2005PECOS EnrolledAccepts Medicare Assignment
101 N VIRGINIA ST, SUITE 105, CRYSTAL LAKE, IL 60014(815) 477-4024(815) 477-4034 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kathleen Mary Deroche Lcsw NPPES

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

MRS. KATHLEEN MARY DEROCHE LCSW (NPI 1528067824) is an individual social worker in Crystal Lake, Illinois and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1528067824
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. KATHLEEN MARY DEROCHECredential: LCSW
Location Address101 N VIRGINIA ST, SUITE 105Crystal Lake, IL 60014-3426
Mailing Address101 N Virginia St, Suite 105Crystal Lake, IL 60014-3426 · (815) 477-4024 · Fax (815) 477-4034
Fax(815) 477-4034
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateJuly 19, 2005
Last NPPES UpdateAugust 15, 2007
NPI 1528067824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition

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.

101 N VIRGINIA ST, Crystal Lake, IL 60014

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Kathleen Mary Deroche Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9436245115
PECOS Enrollment IDI20071010000537
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
355 services26 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
14 services13 patients

Other Providers at the Same Location NPPES 11

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

Counselor
101 N VIRGINIA ST
CRYSTAL LAKE, IL 60014
Counselor (Professional)
101 N VIRGINIA ST, SUITE 160
CRYSTAL LAKE, IL 60014
Counselor (Mental Health)
101 N VIRGINIA ST, SUITE 110
CRYSTAL LAKE, IL 60014
Counselor (Professional)
101 N VIRGINIA ST, SUITE 110
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
101 N VIRGINIA ST, STE. 105
CRYSTAL LAKE, IL 60014
Family Medicine
101 N VIRGINIA ST, STE 190
CRYSTAL LAKE, IL 60014
Social Worker (Clinical)
101 N VIRGINIA ST
CRYSTAL LAKE, IL 60014
Counselor (Professional)
101 N VIRGINIA ST, SUITE 190
CRYSTAL LAKE, IL 60014

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 Kathleen Deroche's NPI number?

The NPI number for Kathleen Deroche is 1528067824. It was assigned to this individual provider in the NPPES registry on July 19, 2005.

Where is Kathleen Deroche located?

Kathleen Deroche practices at 101 N Virginia St Suite 105, Crystal Lake, IL 60014. The listed phone number is (815) 477-4024.

What is Kathleen Deroche's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kathleen Deroche enrolled in Medicare?

Yes. Kathleen Deroche is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Deroche was last updated on August 15, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.