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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1205 E Wackerly St
Midland, MI 48642-7035
Phone: (989) 832-9161
Fax: (989) 832-8813
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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