Organization · Type 2 NPI

Jann la Dere MSW LLC

Clinical Social Worker · Indian River, MI

NPI number 1649851379 Active

Practice location

6301 M 68 Hwy
Indian River, MI 49749-9366

Fax (231) 238-5003

Mailing address

108 S Huron St
Cheboygan, MI 49721-1627

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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…

2 other providers at this address

About NPI 1649851379

Jann la Dere MSW LLC's National Provider Identifier is 1649851379, issued on Apr 15, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indian River, MI. The record was last updated on Jan 9, 2026.