Individual provider · Type 1 NPI

Bryan Frederick

Clinical Social Worker · Detroit, MI

NPI number 1114390507 Active

Practice location

640 Temple St
Detroit, MI 48201-2599

Call (313) 344-9099 Map

Mailing address

623 Oxford Rd
Ann Arbor, MI 48104-2654

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1114390507

Bryan Frederick's National Provider Identifier is 1114390507, issued on Nov 5, 2015. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Nov 5, 2015.