Individual provider · Type 1 NPI

Derrick Joseph Moss

Clinical Social Worker · Detroit, MI

NPI number 1417530221 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Call (313) 204-1949 Map

Fax (313) 576-3703

Mailing address

19482 Lennane
Redford, MI 48240-1349

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801105045 (MI)

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 1417530221

Derrick Joseph Moss's National Provider Identifier is 1417530221, issued on Apr 29, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Detroit, MI. The record was last updated on Apr 29, 2021.