Individual provider Active NPI

Deanna Marie Freed, MSW, LMSW

  • Social Worker
  • Clinton Township, MI
National Provider Identifier
1104969930
Registry record updated Mar 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801079203 Issued in MI
Practice address
43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139
Phone
(586) 469-7629
Fax
(586) 466-4143
NPI assigned
Feb 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801079203 MI
Social Worker 104100000X 6801079203 MI Primary
Clinical Social Worker 1041C0700X 6801079203 MI
Marriage & Family Therapist 106H00000X 6801079203 MI

Addresses

Primary practice location

43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139

Mailing address

43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139
Phone (586) 469-7629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060301000801 MI Practitioner - Clinical Social Worker 1759397649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians
All Things Possible Wellness Center, PLLCGroup PAC ID 3173988128, 17 clinicians

Practice addresses (Care Compare)

25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912

43393 Schoenherr Rd
Sterling Heights, MI 48313-1959
Phone (586) 213-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801079203MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince May 31, 2022 Accepting new patients
County of Macomb CurrentSince May 31, 2022 Accepting new patients
All Things Possible Wellness Center, PLLC Mental Health CurrentSince Jan 5, 2023 Accepting new patients

Locations

16645 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 213-5505

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

16645 15 Mile Rd
#B
Clinton Twp, MI 48035
Phone (586) 213-5055

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

5340 Holiday Ter
Ste 9
Kalamazoo, MI 49009
Phone (269) 381-4446

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

43393 Schoenherr Rd
Sterling Heights, MI 48313
Phone (586) 213-5505

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395619200000",
    "number": "1104969930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-469-7629",
            "fax_number": "586-466-4143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43740 N GROESBECK HWY",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361139",
            "telephone_number": "586-469-7629",
            "fax_number": "586-466-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREED",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2014-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801079203",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801079203",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079203",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "6801079203",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.