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JEFFERY DEITRICK
NPI 1659989705
Social Worker - Clinical in Midland, MI

Active since July 15, 2020PECOS EnrolledAccepts Medicare Assignment
1205 E WACKERLY ST, MIDLAND, MI 48642(989) 832-9161(989) 832-8813 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 12, 2024, Jun 3, 2024, Jul 15, 2020 (3 updates tracked since 2020).

About Jeffery Deitrick NPPES

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

JEFFERY DEITRICK (NPI 1659989705) is an individual clinical provider in Midland, Michigan, licensed in Michigan (6801092058) and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1659989705
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJEFFERY DEITRICK
Location Address1205 E WACKERLY STMidland, MI 48642-7035
Mailing Address1205 E Wackerly StMidland, MI 48642-7035 · (989) 832-9161 · Fax (989) 832-8813
Phone(989) 832-9161
Fax(989) 832-8813
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 15, 2020
Last NPPES UpdateSeptember 12, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1659989705 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 · 6801092058
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.
1205 E WACKERLY ST, Midland, MI 48642
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jeffery Deitrick is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971907585
PECOS Enrollment IDI20210804001527
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48642 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.34 – $166.68
Typical copayment $0.00 (range $13.58 – $41.67)
Most-billed visit code NA
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

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

MISS MOLLY M. CLORE MS
Psychologist
1205 E WACKERLY ST
MIDLAND, MI 48642
Midland County (989) 832-9161
MARISSA LYNN O'NEILL TLLP
Psychologist
1205 E WACKERLY ST
MIDLAND, MI 48642
Midland County (989) 832-9161
HEATHER R EVANS LMSW
Social Worker (Clinical)
1205 E WACKERLY ST
MIDLAND, MI 48642
Midland County (989) 832-9161
ANGELA DUBOIS LLP
Psychologist
1205 E WACKERLY ST
MIDLAND, MI 48642
Midland County (989) 832-9161
DR. TRAVIS J. PASHAK PH.D.
Psychologist
1205 E WACKERLY ST
MIDLAND, MI 48642
Midland County (989) 832-9161
HAYLEY STEPANIAK LPC
Counselor
1205 E WACKERLY ST
MIDLAND, MI 48642
Midland County (989) 832-9161
DR. ERIC D OZKAN PH.D.
Psychologist (Clinical)
1205 E WACKERLY ST
MIDLAND, MI 48642
Midland County (989) 832-9161
BEHAVIORAL MEDICINE ASSOCIATES OF MID MICHIGAN PC
Psychologist (Clinical)
1205 E WACKERLY ST
MIDLAND, MI 48642
Midland County (989) 832-9161

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 Jeffery Deitrick's NPI number?

The NPI number for Jeffery Deitrick is 1659989705. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Jeffery Deitrick located?

Jeffery Deitrick practices at 1205 E Wackerly St, Midland, MI 48642. The listed phone number is (989) 832-9161.

What is Jeffery Deitrick's specialty?

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

Is Jeffery Deitrick enrolled in Medicare?

Yes. Jeffery Deitrick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffery Deitrick accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 2 other insurers list Jeffery Deitrick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffery Deitrick was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.