IndividualActive
Derrick Moss
NPI 1417530221 · Clinical Social Worker · Detroit, MI
Derrick Moss is a Clinical Social Worker provider in Detroit, MI (NPI 1417530221).
Provider details
- NPI number
- 1417530221
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 6801105045 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% 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
4646 John R St
Detroit, MI 48201-1916
Phone: (313) 204-1949
Fax: (313) 576-3703
Street-level locationGet directions
Mailing address
19482 Lennane
Redford, MI 48240-1349
Registry dates
- Enumerated
- 2021-04-29
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Derrick Moss's NPI number?
- Derrick Moss's National Provider Identifier (NPI) is 1417530221, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Moss's specialty?
- Derrick Moss is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Derrick Moss located?
- Derrick Moss's practice location on file with NPPES is 4646 John R St, Detroit, MI 48201-1916.
- What is Derrick Moss's phone number?
- The practice phone number listed in the NPPES registry for Derrick Moss is (313) 204-1949.
- Is Derrick Moss's NPI active?
- Yes — Derrick Moss's NPI (1417530221) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.