Individual provider · Type 1 NPI

Jericho Detherage, LLMSW

Social Worker · Rochester, MI

NPI number 1295693471 Active

Practice location

1050 W University Dr
Rochester, MI 48307-1877

Mailing address

9147 Pittsfield St
Commerce Township, MI 48382-4463

Specialties and licenses

TaxonomyCodeLicense
Social Worker Primary 104100000X6851121260 (MI)

Social Worker: A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

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About NPI 1295693471

Jericho Detherage, LLMSW's National Provider Identifier is 1295693471, issued on Jan 14, 2026. The primary taxonomy on file is Social Worker (104100000X), and the practice location is in Rochester, MI. The record was last updated on Jan 14, 2026.