JERICHO DETHERAGE LLMSW
NPI 1295693471
Social Worker in Rochester, MI

Active since January 14, 2026
1050 W UNIVERSITY DR, ROCHESTER, MI 48307(586) 944-2902 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jericho Detherage Llmsw NPPES

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

JERICHO DETHERAGE LLMSW (NPI 1295693471) is an individual social worker in Rochester, Michigan, licensed in Michigan (6851121260) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1295693471
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameJERICHO DETHERAGECredential: LLMSW
Location Address1050 W UNIVERSITY DRRochester, MI 48307-1877
Mailing Address9147 Pittsfield StCommerce Twp, MI 48382-4463 · (248) 980-1232
Sole ProprietorYes
Enumeration DateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
NPI 1295693471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License Licensed in MI · 6851121260
Definition

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.

1050 W UNIVERSITY DR, Rochester, MI 48307

Other Providers at the Same Location NPPES 10

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

Durable Medical Equipment & Medical Supplies
1050 W UNIVERSITY DR, SUITE 3
ROCHESTER, MI 48307
Durable Medical Equipment & Medical Supplies
1050 W UNIVERSITY DR, SUITE 3
ROCHESTER, MI 48307
Home Health
1050 W UNIVERSITY DR, SUITE 1
ROCHESTER, MI 48307
Physical Therapist
1050 W UNIVERSITY DR, SUITE 3
ROCHESTER, MI 48307
Durable Medical Equipment & Medical Supplies
1050 W UNIVERSITY DR, SUITE 1B
ROCHESTER, MI 48307
Physical Therapist
1050 W UNIVERSITY DR, SUITE 3
ROCHESTER, MI 48307
Physical Therapist
1050 W UNIVERSITY DR, SUITE3
ROCHESTER, MI 48307
Occupational Therapist
1050 W UNIVERSITY DR, SUITE3
ROCHESTER, MI 48307

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295693471, enumerated as an "individual" on January 14, 2026.

The provider is located at 1050 W UNIVERSITY DR ROCHESTER, MI 48307 and the phone number is (586) 944-2902.

Social Worker with taxonomy code 104100000X.