Detroit Second Chance Inc is a medicare enrolled mental health clinic (Social Worker - Clinical) in River Rouge, Michigan. The current practice location for Detroit Second Chance Inc is 310 Visger Rd, River Rouge, Michigan. For appointments, you can reach them via phone at (313) 561-8600. The mailing address for Detroit Second Chance Inc is 310 Visger Rd, River Rouge, Michigan and phone number is (313) 561-8600.
Detroit Second Chance Inc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1740932342. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (313) 561-8600.
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Detroit Second Chance Inc 310 Visger Rd River Rouge MI 48218-1037 Ph: (313) 561-8600
Detroit Second Chance Inc 310 Visger Rd River Rouge MI 48218-1037 Ph: (313) 561-8600
NPI Details:
NPI Number
1740932342
Provider Enumeration Date
01/25/2022
Last Update Date
01/31/2025
Certification Date
01/28/2025
Medicare PECOS Information:
Medicare PECOS PAC ID
8426586801
Medicare Enrollment ID
O20250113002943
Medical Identifiers
Medical identifiers for Detroit Second Chance Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1740932342
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
103TC1900X
Psychologist - Counseling
(* (Not Available))
Secondary
251B00000X
Case Management
(* (Not Available))
Secondary
251S00000X
Community/behavioral Health
(* (Not Available))
Secondary
261QM0850X
Clinic/center - Adult Mental Health
(* (Not Available))
Secondary
261QR0405X
Clinic/center - Rehabilitation, Substance Use Disorder
(* (Not Available))
Secondary
1041C0700X
Social Worker - Clinical
(* (Not Available))
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Detroit Second Chance Inc acts as a billing entity for following providers:
Rapid Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Visger Rd, River Rouge, MI 48218 Phone: 734-756-1060
Exec-u-tech Behavioral Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Beechwood St, River Rouge, MI 48218 Phone: 313-386-2288