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DERIC DUANE KENNEDY
NPI 1649031196
Case Manager/Care Coordinator in Waldorf, MD

Active since January 22, 2024
2630 HOMECOMING LN, WALDORF, MD 20603(240) 412-4041 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deric Duane Kennedy NPPES

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

DERIC DUANE KENNEDY (NPI 1649031196) is an individual case manager/care coordinator provider in Waldorf, Maryland and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1649031196
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDERIC DUANE KENNEDY
Location Address2630 HOMECOMING LNWaldorf, MD 20603-5313
Mailing Address2630 Homecoming LnWaldorf, MD 20603-5313 · (240) 412-4041
Phone(240) 412-4041
Sole ProprietorNo
Enumeration DateJanuary 22, 2024
NPPES CertifiedJanuary 22, 2024
✔ NPI 1649031196 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.
2630 HOMECOMING LN, Waldorf, MD 20603
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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 Deric Kennedy's NPI number?

The NPI number for Deric Kennedy is 1649031196. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Deric Kennedy located?

Deric Kennedy practices at 2630 Homecoming Ln, Waldorf, MD 20603. The listed phone number is (240) 412-4041.

What is Deric 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 Deric Kennedy was last updated on January 22, 2024. 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.