Individual provider · Type 1 NPI

Jessica Amber Bazan Deraedt, LMSW

Clinical Social Worker · Jackson, MI

NPI number 1083170963 Active

Practice location

1108 Homewild Ave
Jackson, MI 49201-1835

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X6801101750 (MI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1083170963

Jessica Amber Bazan Deraedt, LMSW's National Provider Identifier is 1083170963, issued on Feb 15, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Jackson, MI. The record was last updated on Jul 17, 2020.