PATRICIA LEE KERWIN-DERRICK (LICSW) – Clinical Social Worker, NPI 1528143047

PATRICIA LEE KERWIN-DERRICK (LICSW) is a healthcare provider. based in South weymouth, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 1031341 (MA). The NPI Number for PATRICIA LEE KERWIN-DERRICK (LICSW) is 1528143047

Main info

Female
Sole Proprietor
30 Years Of Experience
Accepts Medicare Assignment
Name
PATRICIA LEE KERWIN-DERRICK (LICSW)
NPI
1528143047
Phone
(617) 875-6906
Address
49 PLEASANT ST
Enumeration Date
25 October 2006
Last Update Date
11 August 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086607949
Graduation Year
1996 (30 years ago)
PAC ID
9436244506
Group Practice PAC ID
0244218360
Professional Enrollment ID
I20071004000152
Address ID
MA020812553WA1600XHWYX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for PATRICIA LEE KERWIN-DERRICK (LICSW)

  • 49;51, Pleasant Street, South Weymouth, Weymouth, Norfolk County, Massachusetts, 02190, United States

    SOUTH WEYMOUTH, MA 021902435

    Phone: (617) 875-6906

    Mailing address matches the actual address.

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2007-10-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20071004000152IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 02190)

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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: 0244218360View full group profile
NameSpecialtyState
Nurse PractitionerMA
Certified Clinical Nurse Specialist (Cns)MA
Psychiatry, Geriatric PsychiatryMA
P S Y C H I A T R YMA
-MA
Clinical PsychologistMA
Certified Clinical Nurse Specialist (Cns)MA
Clinical Social WorkerMA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

Is there an official ID for PATRICIA LEE KERWIN-DERRICK (LICSW) in U.S. healthcare records?
The official identifier for PATRICIA LEE KERWIN-DERRICK (LICSW) is NPI 1528143047.
Is there an active status for PATRICIA LEE KERWIN-DERRICK (LICSW)?
For scheduling context, PATRICIA LEE KERWIN-DERRICK (LICSW) is shown as active in the registry.
What clinical focus is listed for PATRICIA LEE KERWIN-DERRICK (LICSW)?
At a glance, PATRICIA LEE KERWIN-DERRICK (LICSW) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is PATRICIA LEE KERWIN-DERRICK (LICSW) associated with South Weymouth?
Public fields place PATRICIA LEE KERWIN-DERRICK (LICSW) around South Weymouth, Massachusetts. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for PATRICIA LEE KERWIN-DERRICK (LICSW) is noted as October 25, 2006 where the registry provides it.

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