Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeffery Deitrick

Individual provider Clinical Social Worker · NPI 1659989705

Jeffery Deitrick is a Clinical Social Worker in Midland, Michigan. Qualified in 2020, 6 years ago. Practices with Behavioral Medicine Associates of Mid Michigan PC, a 7-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

1205 E Wackerly St
Midland, MI 48642-7035
Phone: (989) 832-9161
Fax: (989) 832-8813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801092058 (MI)

Record details

NPI number1659989705
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 15, 2020
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address1205 E Wackerly St, Midland, MI 48642-7035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Behavioral Medicine Associates Of Mid Michigan Pc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Midland