Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeffrey Michael Deroche, LCSW

Individual provider Clinical Social Worker · NPI 1205275047

Mr. Jeffrey Michael Deroche, LCSW is a Clinical Social Worker in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2013
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

230 W 17th St Fifth Fl
New York, NY 10011-5325 Not confirmed with CMS for 10 years — call before visiting
Phone: (212) 271-7200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 73 084674 (NY)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1205275047
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 14, 2013
Last updated in NPPESSeptember 1, 2016

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