Rebecca Sue Deraud, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801080766 Issued in MI

Practice address

2859 Ashley LN
West Bloomfield, MI 48324-4110

Phone

(248) 396-6271

NPI assigned

Mar 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Rebecca Margolis Deraud 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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Transitions of Ann Arbor Counseling Services LLC

  • Social Worker
  • West Bloomfield, MI
  • NPI 1902397763
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1521244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1568965358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 ASHLEY LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 ASHLEY LN",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483244110",
            "telephone_number": "248-396-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERAUD",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-17",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801080766",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801080766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "DERAUD",
            "middle_name": "MARGOLIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dental Arts of Maple
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• Dental House - West Bloomfield
• Brian Patrick Denton, M.D.
• Devyn Depeter, RBT
• Katie Derkacz, CCC-SLP
• Amy Philomena Derosa, D.O.
• Piyush K. Desai, M.D.
• Lindsey Desana
• Jeffrey Thomas Desano II, D.O.

• Social Worker in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.