Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JESSICA AMBER BAZAN DERAEDT, LMSW
Active Sole ProprietorMRS. JESSICA AMBER BAZAN DERAEDT, LMSW is a Clinical Social Worker healthcare provider located in JACKSON, Michigan. NPI 1083170963 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · JACKSON, MI
Registration Details
- NPI Number
- 1083170963
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 15, 2019 (7.468899492837 yrs)
- Last Updated
- Jul 17, 2020
- License
-
6801101750 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1108 HOMEWILD AVEJACKSON, MI, 492011835Browse MI providers · Browse ZIP 49201
- Phone
- 2316790648
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in JACKSON, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. JUDY ANN MCNISH | MSW BSW | 1972595239 |
| MS. KAREN L HARRISON | LMSW ACSW | 1265424535 |
| MRS. CHERYL LAFAVE BASSETT | MSW | 1124011192 |
| MS. JEANNINE M. REHBERG | LMSW | 1194709428 |
| DAWN MARIE ANDERSON-MEIER | LMSW, ACSW | 1346212891 |
| SANDRA ANN COLE | LMSW, ACSW | 1023084589 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.