MS. KELLY DERR LCSW
NPI 1912468927
Social Worker - Clinical in Mokena, IL

Active since March 31, 2019PECOS Enrolled
9435 BORMET DR STE 5, MOKENA, IL 60448(708) 995-7226 Get Directions Write a Review

NPPES record last updated: March 31, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Kelly Derr Lcsw NPPES

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

MS. KELLY DERR LCSW (NPI 1912468927) is an individual clinical provider in Mokena, Illinois, licensed in Illinois (149016583) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912468927
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. KELLY DERRCredential: LCSW
Location Address9435 BORMET DR STE 5Mokena, IL 60448-7401
Mailing Address425 N Broadway StCoal City, IL 60416-1044 · (815) 584-7730
Sole ProprietorYes
Enumeration DateMarch 31, 2019
NPI 1912468927 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 IL · 149016583
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.

9435 BORMET DR STE 5, Mokena, IL 60448

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ms. Kelly Derr Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60448 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
9435 BORMET DR STE 5
MOKENA, IL 60448
Counselor (Mental Health)
9435 BORMET DR STE 5
MOKENA, IL 60448
Social Worker (Clinical)
9435 BORMET DR STE 5
MOKENA, IL 60448
Counselor (Professional)
9435 BORMET DR STE 5
MOKENA, IL 60448
Social Worker (Clinical)
9435 BORMET DR STE 5
MOKENA, IL 60448

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 Kelly Derr's NPI number?

The NPI number for Kelly Derr is 1912468927. It was assigned to this individual provider in the NPPES registry on March 31, 2019.

Where is Kelly Derr located?

Kelly Derr practices at 9435 Bormet Dr Ste 5, Mokena, IL 60448. The listed phone number is (708) 995-7226.

What is Kelly Derr's specialty?

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

Is Kelly Derr enrolled in Medicare?

Yes. Kelly Derr is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Derr was last updated on March 31, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.