IndividualActive
Bryan Frederick
NPI 1114390507 · Clinical Social Worker · Detroit, MI
Bryan Frederick is a Clinical Social Worker provider in Detroit, MI (NPI 1114390507).
Provider details
- NPI number
- 1114390507
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
640 Temple St
Detroit, MI 48201-2599
Phone: (313) 344-9099
Street-level locationGet directions
Mailing address
623 Oxford Rd
Ann Arbor, MI 48104-2654
Registry dates
- Enumerated
- 2015-11-05
- Last updated
- 2015-11-05
Frequently asked questions
- What is Bryan Frederick's NPI number?
- Bryan Frederick's National Provider Identifier (NPI) is 1114390507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bryan Frederick's specialty?
- Bryan Frederick is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Bryan Frederick located?
- Bryan Frederick's practice location on file with NPPES is 640 Temple St, Detroit, MI 48201-2599.
- What is Bryan Frederick's phone number?
- The practice phone number listed in the NPPES registry for Bryan Frederick is (313) 344-9099.
- Is Bryan Frederick's NPI active?
- Yes — Bryan Frederick's NPI (1114390507) is active in the NPPES registry as of the last update on 2015-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.