MS. KELLY DERR (LCSW) – Clinical Social Worker, NPI 1912468927

Clinical Social Worker

MS. KELLY DERR (LCSW) is a healthcare provider. based in Coal city, Illinois. specializing in Clinical Social Worker. They hold the professional credentials LCSW. They hold a License No. 149016583 (IL). The NPI Number for MS. KELLY DERR (LCSW) is 1912468927

Main info

Female

Sole Proprietor

30 Years Of Experience

Accepts Medicare Assignment

Name

MS. KELLY DERR (LCSW)

NPI

1912468927

Phone

(815) 584-7730

Address

425 N BROADWAY ST

Enumeration Date

31 March 2019

Last Update Date

31 March 2019

Doctor Profile

Medical School Name

OTHER

Secondary Phone

7089957226

Graduation Year

1996 (30 years ago)

PAC ID

7810221348

Group Practice PAC ID

3375718604

Professional Enrollment ID

I20190702003267

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience28

Completeness75

Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for MS. KELLY DERR (LCSW)

425, North Broadway Street, Coal City, Grundy County, Illinois, 60416, United States
COAL CITY, IL 604161044
Phone: (815) 584-7730
Type: Mailing
Bormet Drive, Mokena, Will County, Illinois, 60448, United States
MOKENA, IL 604487401
Phone: (708) 995-7226
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60416)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 3375718604View full group profile

Name	Specialty	State
MR. MATTHEW EDWARD LITTLEFIELD (LPC)	Mental Health Counselor	IL
DONNA M WELTER (MSW)	Clinical Social Worker	IL
EDWARD HARRISON MARSTON (PHD)	-	IL
KARA MARIE MARTINO (M.S.)	Mental Health Counselor	IL
DUNCAN WILLIAM HALL (LCSW)	-	IL