Active NPI
Jessica Frances Deroche, LLBSW
- Social Worker
- Kingsford, MI
National Provider Identifier
1801544317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802091292
- Practice address
- 715 Pyle Dr
Kingsford, MI 49802-4456 - Phone
- (906) 239-9253
- Fax
- (906) 779-0645
- NPI assigned
- Mar 14, 2022
- Last updated
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802091292 | MI | Primary |
Addresses
Primary practice location
715 Pyle Dr
Kingsford, MI 49802-4456
Mailing address
715 Pyle Dr
Kingsford, MI 49802-4456
Phone (906) 239-9253
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jderoche@nbhs.org | ||
| Direct Messaging Address | jderoche@nbhs.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6802091292 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1801544317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 PYLE DR",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "498024456",
"telephone_number": "906-239-9253",
"fax_number": "906-779-0645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 PYLE DR",
"city": "KINGSFORD",
"state": "MI",
"postal_code": "498024456",
"telephone_number": "906-239-9253",
"fax_number": "906-779-0645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROCHE",
"first_name": "JESSICA",
"middle_name": "FRANCES",
"credential": "LLBSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-14",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802091292",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jderoche@nbhs.org",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "715 Pyle Dr",
"city": "Kingsford",
"state": "MI",
"country_code": "US",
"postal_code": "498024456",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jderoche@nbhs.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "715 Pyle Dr",
"city": "Kingsford",
"state": "MI",
"country_code": "US",
"postal_code": "498024456",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kingsford, MI
- Community Substance Abuse Services, Inc.
- Community Substance Abuse Services, Inc.
- Corrina Chiropractic PLLC
- Robert Joseph D Amour, DDS
- Taya Dehling, SST
- Rebecca Ann Dessellier
- Dickinson County Healthcare System
- Dickinson County Healthcare System (Dickinson-Marquette Medical Center)
- Dickinson Neurology Associates P C
- Dickinson-Iron Intermediate School District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.