DERRICK MILLER (NPI# 1265964209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265964209 |
| Entity Type | Individual |
| Full Name | DERRICK MILLER |
| Practice Address |
23411 Jefferson Ave Ste 107 Saint Clair Shores MI 48080-1949 |
| Mailing Address |
895 Beaconsfield Ave 1n Grosse Pointe Park MI 48230-1781 |
| Practice Telephone | 3136189762 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2019-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801105548 | MI | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 42815 Garfield Rd Ste 201, Clinton Township, MI 480381143 | 5863335328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205296217 | Derrick James Miller | Physical Therapy Assistant | 205 E Kings Hwy, Eden, NC 27288-5239 | 2016-03-03 |
| Street Address |
23411 JEFFERSON AVE STE 107 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip Code | 48080-1949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285975623 | Kristin Frey | Social Worker | 23411 Jefferson Ave Ste 107, Saint Clair Shores, MI 48080-1949 | 2013-03-11 |
| 1114576394 | Kristin Frey Lmsw Pllc | Social Worker | 23411 Jefferson Ave Ste 107, Saint Clair Shores, MI 48080-1949 | 2019-09-10 |
| 1710534789 | Derrick Miller Pllc | Social Worker | 23411 Jefferson Ave Ste 107, Saint Clair Shores, MI 48080-1949 | 2019-08-23 |
| 1710496476 | Gerylann Elizabeth Arden | Counselor | 23411 Jefferson Ave Ste 107, Saint Clair Shores, MI 48080-1949 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508482084 | Farrah Aleema Rajab | Family Medicine | 24911 Little Mack Avenue, Suite C, St. Clair Shores, MI 48080 | 2020-06-22 |
| 1558986141 | Julia Anastazja Krakowska | Family Medicine | 24911 Little Mack, Suite C, St. Clair Shores, MI 48080 | 2020-06-10 |
| 1972073567 | Joyce Stepnak | Social Worker | 19611 E. 8 Mile Rd, Scs, MI 48080 | 2018-11-27 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1609309913 | Park Pharmacy Scs LLC | Pharmacy | 20225 E 9 Mile Rd Ste 120a, Saint Clair Shores, MI 48080 | 2017-04-05 |
| 1730564055 | Mary Rose Giroux | Psychologist | 22516 Overlake St, St. Clair Shores, MI 48080 | 2015-07-28 |
| 1962882910 | Ali Tarif Bazzy | Family Medicine | 20225 E 9 Mile Rd Ste A, Saint Clair Shores, MI 48080 | 2015-06-04 |
| 1497156228 | Kelly Zalewski | Social Worker | 24631 Jefferson Ave, Saint Clair Shores, MI 48080 | 2014-09-11 |
| 1669871364 | Mallory Margret Gordon | Psychologist | 19900 E. 10 Mile Rd., Ste. 102, Saint Clair Shores, MI 48080 | 2014-08-19 |
| 1932549375 | Alexander Peter Bill | Otolaryngology | 22631 Greater Mack Ave Ste 200, Saint Clair Shores, MI 48080 | 2013-06-30 |
| Find all providers in zip 48080 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750856605 | Linda Archibald Lmsw LLC | Social Worker | 23915 Jefferson Ave Ste 5, Saint Clair Shores, MI 48080-1512 | 2018-10-08 |
| 1487134177 | Bonnie Girson | Social Worker | 23409 Jefferson Ave Ste 100, Saint Clair Shores, MI 48080 | 2018-08-21 |
| 1669995783 | Terra Laquay Ginther | Social Worker | 28800 Harper Ave Ste A, Saint Clair Shores, MI 48081 | 2017-07-20 |
| 1225558745 | Steven Kalbfleisch | Social Worker | 22777 Harper Ave Ste 104c, Saint Clair Shores, MI 48080-1800 | 2017-06-26 |
| 1184157059 | Abbie Lin Laforest | Social Worker | 26030 Harper Ave, Saint Clair Shores, MI 48081-3773 | 2017-04-07 |
| 1114301751 | Lianee Tait, Lmsw | Social Worker | 20816 E 11 Mile Rd Ste 115, Saint Clair Shores, MI 48081-1579 | 2015-07-14 |
| 1588069280 | Jessie Lynn Korte | Social Worker | 22943 Clairwood St, Saint Clair Shores, MI 48080-3412 | 2014-10-24 |
| 1245671312 | Sherry Regina Scott | Social Worker | 21323 Harper Ave, Saint Clair Shores, MI 48080-2224 | 2013-07-17 |
| 1285975623 | Kristin Frey | Social Worker | 23411 Jefferson Ave Ste 107, Saint Clair Shores, MI 48080-1949 | 2013-03-11 |
| 1326392531 | Laura Bloom | Social Worker | 23409 Jefferson Ave, Suite 100, Saint Clair Shores, MI 48080-3449 | 2012-11-09 |
| Find all providers in SAINT CLAIR SHORES | ||||
| City | SAINT CLAIR SHORES |
| Zip Code | 48080 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.