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

Derek Kennedy, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1821486622

Derek Kennedy, CASAC is an Addiction (Substance Use Disorder) Counselor in New York, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014

Practice location Address checks out

177 E 122nd St
New York, NY 10035-2906
Phone: (212) 360-7116
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 18393 (NY)

Record details

NPI number1821486622
Entity typeIndividual (Type 1)
GenderMale
Credentials CASAC
Sole proprietorNo
NPI enumeratedDecember 31, 2014
Last updated in NPPESDecember 31, 2014

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