Healthcare Provider Details

I. General information

NPI: 1679428734
Provider Name (Legal Business Name): STEVEN FRIDAY CLINICAL SOCIAL WORK SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7655 FOREST ST
DEXTER MI
48130-1304
US

IV. Provider business mailing address

7655 FOREST ST
DEXTER MI
48130-1304
US

V. Phone/Fax

Practice location:
  • Phone: 210-488-5259
  • Fax:
Mailing address:
  • Phone: 210-488-5259
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEVEN FRIDAY
Title or Position: OWNER/CLINICAL SOCIAL WORKER
Credential: LCSW, LMSW
Phone: 210-488-5259