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

Kaitlee Derx

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1285097931

Kaitlee Derx is a Clinical Social Worker in Victor, New York. Qualified in 2016, 10 years ago. Works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016

Practice location Address checks out

6539 Anthony Dr
Victor, NY 14564-1441
Phone: (585) 398-8835
Show map & directions

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

Additional practice locations (1)

  • 94 Forest Meadow Trl, Rochester, NY 14624-1137 — (716) 307-8403

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1285097931
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESFebruary 14, 2024
Certification dateFebruary 14, 2024
Mailing address94 Forest Meadow Trl, Rochester, NY 14624-1137

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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