Derek Adil, LMSW
Individual provider Active NPI Social Worker · Mineola, NY
NPI 1700729944 · NPPES record last updated Apr 13, 2026
Key facts
- NPI
- 1700729944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 102475 (NY)
- Practice address
- 120 Mineola Blvd Ste 430
Mineola, NY 11501-4077 - Phone
- (516) 663-1204
- NPI assigned
- Apr 13, 2026
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102475 | NY | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 102475 | NY | Yes |
Addresses
Primary practice location
120 Mineola Blvd Ste 430
Mineola, NY 11501-4077
Mailing address
120 Mineola Blvd Ste 430
Mineola, NY 11501-4077
Phone (516) 663-1204
Other providers in Mineola, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.