National Provider Identifier

Derek Wadsworth

Derek Wadsworth is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Geneseo, NY and a listed phone number of (585) 243-7250.

NPI 1700748803Geneseo, NYMental Health Counselor

Profile Overview

NPI
1700748803
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
November 26, 2025
Last Updated
November 26, 2025

Practice Location

  • 4600 Millennium Dr
  • Geneseo, NY 14454-1197

Phone: (585) 243-7250

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1700748803
Entity Type
Individual
Last Name
Wadsworth
First Name
Derek
Mailing Street Address
4600 Millennium Dr
Mailing City
Geneseo
Mailing State
NY
Mailing ZIP Code
14454-1197
Mailing Country
US
Mailing Phone
(585) 243-7250
Practice Street Address
4600 Millennium Dr
Practice City
Geneseo
Practice State
NY
Practice ZIP Code
14454-1197
Practice Country
US
Practice Phone
(585) 243-7250
Enumeration Date
November 26, 2025
Last Updated
November 26, 2025
Sex
Male
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
November 26, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)