Active NPI
Jann la Dere MSW LLC
- Clinical Social Worker
- Indian River, MI
National Provider Identifier
1649851379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- JANN LA DERE MSW LLC
- Practice address
- 6301 M 68 Hwy
Indian River, MI 49749-9366 - Phone
- (231) 203-3231
- Fax
- (231) 238-5003
- NPI assigned
- Apr 15, 2021
- Last updated
- Jan 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Marie Ladere, LMSW
- Title
- Owner/Therapist
- Phone
- (231) 203-3231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
6301 M 68 Hwy
Indian River, MI 49749-9366
Mailing address
108 S Huron St
Cheboygan, MI 49721-1627
Phone (231) 203-3231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
616 Petoskey St
Ste 3
Petoskey, MI 49770
Phone (231) 203-3231
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Indian River, MI
- NPI 1689026379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618444800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1767916800000",
"number": "1649851379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 S HURON ST",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497211627",
"telephone_number": "231-203-3231",
"fax_number": "231-238-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6301 M 68 HWY",
"city": "INDIAN RIVER",
"state": "MI",
"postal_code": "497499366",
"telephone_number": "231-203-3231",
"fax_number": "231-238-5003"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JANN LA DERE MSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-15",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A",
"authorized_official_last_name": "LADERE",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "231-203-3231",
"authorized_official_credential": "LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indian River, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.