Dedrea Larrette Carter, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801802020 Issued in MI

Practice address

6006 Yorkshire Rd
Detroit, MI 48224-3826

Phone

(313) 353-4704

Fax

(313) 536-8061

NPI assigned

Jan 19, 2016

Last updated

Feb 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dedrea Larrette Owens Former name

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• The Golden Room Children's Mental Health Services, LLC.

  • Adolescent and Children Mental Health Clinic/Center
  • Detroit, MI
  • NPI 1174348247
  Medicare reassignment NPD

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

{
    "created_epoch": "1453161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1528425733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 YORKSHIRE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243826",
            "telephone_number": "313-353-4704",
            "fax_number": "313-536-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 YORKSHIRE RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243826",
            "telephone_number": "313-353-4704",
            "fax_number": "313-536-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "DEDREA",
        "middle_name": "LARRETTE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801802020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEDREA",
            "last_name": "OWENS",
            "middle_name": "LARRETTE",
            "credential": "LMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norma Carter-Jones, RN
• Brittany Dawn Carter-Snell, DO
• Antonette Carter III
• Cherilyn Elaine Carter, BSW/LSW MA/LPC
• Chiquita Carter
• Dominique Carter, LLMSW
• Earl Carter IV
• Eric Carter
• Eric Carter
• Genae Carter

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.