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DETROIT SECOND CHANCE INC
NPI 1740932342
Social Worker - Clinical in River Rouge, MI

Active since January 25, 2022
310 VISGER RD, RIVER ROUGE, MI 48218(313) 561-8600 Get Directions Write a Review

NPPES record last updated: January 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Detroit Second Chance Inc NPPES

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

DETROIT SECOND CHANCE INC (NPI 1740932342) is a healthcare organization registered as a clinical in River Rouge, Michigan and active in the NPI registry since January 2022. The organization lists Darryl Wayne Eason, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740932342
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameDETROIT SECOND CHANCE INC
Location Address310 VISGER RDRiver Rouge, MI 48218-1037
Mailing Address310 Visger RdRiver Rouge, MI 48218-1037 · (313) 561-8600
Phone(313) 561-8600
Organization SubpartNo
Authorized OfficialDarryl Wayne EasonCeo · (313) 561-8600
Enumeration DateJanuary 25, 2022
Last NPPES UpdateJanuary 31, 2025
NPPES CertifiedJanuary 28, 2025
✔ NPI 1740932342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ 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.
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X
310 VISGER RD, River Rouge, MI 48218
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Detroit Second Chance Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Detroit Second Chance Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Beverly Gibson, LMSW
Clinical Social Worker
NPI 1760879787
2232 S MAIN ST # 163
Ann Arbor, MI 48103
(773) 716-4574
✔ PECOS31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Detroit Second Chance Inc's NPI number?

The NPI number for Detroit Second Chance Inc is 1740932342. It was assigned to this organization in the NPPES registry on January 25, 2022.

Where is Detroit Second Chance Inc located?

Detroit Second Chance Inc is located at 310 Visger Rd, River Rouge, MI 48218. The listed phone number is (313) 561-8600.

What is Detroit Second Chance Inc's specialty?

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

Is Detroit Second Chance Inc enrolled in Medicare?

Yes. Detroit Second Chance Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Detroit Second Chance Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Detroit Second Chance Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Detroit Second Chance Inc accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Detroit Second Chance Inc 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 Detroit Second Chance Inc was last updated on January 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.