Individual provider Active NPI

Trelle Miller-Freeny, LLMSW

  • Clinical Social Worker
  • Highland Park, MI
National Provider Identifier
1871928531
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851103698 Issued in MI
Practice address
77 Victor St
Highland Park, MI 48203-3127
Phone
(313) 252-1950
NPI assigned
Sep 12, 2013
Last updated
Sep 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851103698 MI Primary

Addresses

Primary practice location

77 Victor St
Highland Park, MI 48203-3127

Mailing address

77 Victor St
Highland Park, MI 48203-3127
Phone (313) 252-1950

Other practice location 1

17321 Telegraph Rd
Detroit, MI 48219-3132
Phone (313) 255-0900

Other practice location 2

62 W 7 Mile Rd
Detroit, MI 48203
Phone (313) 893-6172

Other identifiers 1

IdentifierTypeStateIssuer
3434247MedicaidMI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address trelle.millerfreeny@ruthelliscenter.org
Direct Messaging Address trelle.millerfreeny@ruthelliscener.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851103698MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ruth Ellis Center, Inc. PastSince Mar 21, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tmillerfreeny657252@direct.hfhs.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1871928531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VICTOR ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033127",
            "telephone_number": "313-252-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VICTOR ST",
            "city": "HIGHLAND PARK",
            "state": "MI",
            "postal_code": "482033127",
            "telephone_number": "313-252-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17321 Telegraph Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482193132",
            "country_code": "US",
            "telephone_number": "313-255-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "62 W 7 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48203",
            "country_code": "US",
            "telephone_number": "313-893-6172",
            "fax_number": "313-893-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER-FREENY",
        "first_name": "TRELLE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-12",
        "last_updated": "2021-09-17",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851103698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3434247",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trelle.millerfreeny@ruthelliscenter.org",
            "affiliation": "N",
            "address_1": "2799 W Grand Blvd",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482022608",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trelle.millerfreeny@ruthelliscener.org",
            "affiliation": "N",
            "address_1": "77 Victor St",
            "city": "Highland Park",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482033127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Highland Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.