DERRICK JOSEPH MOSS
NPI 1417530221
Social Worker - Clinical in Detroit, MI

Q: What is Derrick Moss's NPI number?

The NPI number for Derrick Moss is 1417530221. It was assigned to this individual provider in the NPPES registry on April 29, 2021.

Q: What is Derrick Moss's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derrick Moss was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 29, 2021

4646 JOHN R ST, DETROIT, MI 48201(313) 204-1949(313) 576-3703 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Derrick Joseph Moss NPPES

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

DERRICK JOSEPH MOSS (NPI 1417530221) is an individual clinical provider in Detroit, Michigan, licensed in Michigan (6801105045) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1417530221

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameDERRICK JOSEPH MOSS

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address19482 LennaneRedford, MI 48240-1349 · (313) 204-1949 · Fax (313) 576-3703

Phone(313) 204-1949

Fax(313) 576-3703

Sole ProprietorYes

Enumeration DateApril 29, 2021

NPPES CertifiedApril 29, 2021

✔ NPI 1417530221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801105045

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.

4646 JOHN R ST, Detroit, MI 48201

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Other Providers at the Same Location NPPES 20

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

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