Family Supportive Services of Northern Michigan LLC
NPI 1164943353ActiveOrganization· Social Worker, Clinical· Cadillac, MI
Social Worker, Clinical in Cadillac, Michigan, registered in NPPES in June 2017. The authorized official on file is Jessica Deverman, LLMSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1164943353 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2017 |
| Last updated in NPPES | Jul 21, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801095051 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
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