MR. BRYAN FREDERICK
NPI 1114390507
Social Worker - Clinical in Detroit, MI

Active since November 05, 2015
640 TEMPLE ST, DETROIT, MI 48201(313) 344-9099 Get Directions Write a Review

NPPES record last updated: November 5, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Bryan Frederick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BRYAN FREDERICK (NPI 1114390507) is an individual clinical provider in Detroit, Michigan and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1114390507
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. BRYAN FREDERICK
Location Address640 TEMPLE STDetroit, MI 48201-2599
Mailing Address623 Oxford RdAnn Arbor, MI 48104-2654 · (734) 536-6276
Sole ProprietorNo
Enumeration DateNovember 5, 2015
NPI 1114390507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
640 TEMPLE ST, Detroit, MI 48201

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
640 TEMPLE ST
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
640 TEMPLE ST
DETROIT, MI 48201
Social Worker (Clinical)
640 TEMPLE ST, DETROIT WAYNE MENTAL HEALTH AUTHORITY
DETROIT, MI 48201
Social Worker (Clinical)
640 TEMPLE ST
DETROIT, MI 48201
Public Health or Welfare
640 TEMPLE ST, SUITE 370
DETROIT, MI 48201
Public Health or Welfare
640 TEMPLE ST
DETROIT, MI 48201
Psychologist
640 TEMPLE ST, 8TH FLOOR
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
640 TEMPLE ST
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bryan Frederick's NPI number?

The NPI number for Bryan Frederick is 1114390507. It was assigned to this individual provider in the NPPES registry on November 5, 2015.

Where is Bryan Frederick located?

Bryan Frederick practices at 640 Temple St, Detroit, MI 48201. The listed phone number is (313) 344-9099.

What is Bryan Frederick's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Bryan Frederick was last updated on November 5, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.