FAMILY SUPPORTIVE SERVICES OF NORTHERN MICHIGAN LLC
NPI 1164943353
Social Worker - Clinical in Cadillac, MI

Q: What is Family Supportive Services Of Northern Michigan LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 28, 2017

121 N MITCHELL ST, CADILLAC, MI 49601(231) 878-8189(517) 323-9531 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 28, 2017 (3 updates tracked since 2017).

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About Family Supportive Services Of Northern Michigan Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY SUPPORTIVE SERVICES OF NORTHERN MICHIGAN LLC (NPI 1164943353) is a healthcare organization registered as a clinical in Cadillac, Michigan and active in the NPI registry since June 2017. The organization maintains a secondary practice location in Leroy and lists Jessica Deverman, Owner, as its authorized official.

NPPES Registry Identity

NPI1164943353

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameFAMILY SUPPORTIVE SERVICES OF NORTHERN MICHIGAN LLC

Location Address121 N MITCHELL STCadillac, MI 49601-1879

Mailing Address121 N Mitchell StCadillac, MI 49601-1879 · (231) 878-8189 · Fax (517) 323-9531

Phone(231) 878-8189

Fax(517) 323-9531

Organization SubpartNo

Authorized OfficialJessica DevermanOwner · (231) 878-8189

Enumeration DateJune 28, 2017

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1164943353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801095051

Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

121 N MITCHELL ST, Cadillac, MI 49601

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Secondary Practice Location 1

Location 119804 15 Mile RdLeRoy, MI 49655-8323 · Phone (231) 878-8189 · Fax (517) 323-9531

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLETTE GOMEZ LMSW

Social Worker (Clinical)