Derrick Freyman, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801095690 Issued in MI

Practice address

2350 Green Rd Ste 160
Ann Arbor, MI 48105-1572

Phone

(517) 882-3732

NPI assigned

Oct 31, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Aldad Medical PC

  • Psychiatry Physician
  • Ann Arbor, MI
  • NPI 1174784953
  Medicare reassignment NPD
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1295866135

  Clinical

  Medicare reassignment NPD
• Suppression Expression Counseling, LLC

  • Mental Health Counselor
  • Grandville, MI
  • NPI 1811641855
  Medicare reassignment NPD
• Pride and Joy Counseling, LLC

  • Clinical Social Worker
  • Ypsilanti, MI
  • NPI 1770232613
  NPD Authorized official
• Downriver Mental Health Clinic PC

  • Psychologist
  • Taylor, MI
  • NPI 1104930130

  Clinical

  NPD
• Affirmations Community Center

  • Community/Behavioral Health Agency
  • Ferndale, MI
  • NPI 1154681641
  NPD (past)
• Path to Empowerment, PLLC

  • Clinical Social Worker
  • Ferndale, MI
  • NPI 1952918013
  NPD (past)

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1922510940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LAKESHORE BLVD APT A415",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481986976",
            "telephone_number": "734-510-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 GREEN RD STE 160",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481051572",
            "telephone_number": "517-882-3732"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 N Washington St Ste 131",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481972617",
            "country_code": "US",
            "telephone_number": "888-498-0684",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "290 W 9 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "MI",
            "postal_code": "482201794",
            "country_code": "US",
            "telephone_number": "248-398-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREYMAN",
        "first_name": "DERRICK",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-31",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Tellis Frencher, MD, PHD
• David Marc Fresco, PH.D.
• Isabell Frey
• Jamie Frey, NP
• Kirk A Frey, MD
• Elizabeth Anne Freyre, RDN
• Julia K Frick, MSW
• David Alexander Fried, MD
• Jessica Gem Fried, MD
• Joy B Fried, MA, CCC-SLP

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, 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 Aug 14, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.