Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jericho Detherage, LLMSW

Individual provider Social Worker · NPI 1295693471

Jericho Detherage, LLMSW is a Social Worker in Rochester, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

1050 W University Dr
Rochester, MI 48307-1877
Phone: (586) 944-2902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6851121260 (MI)

Record details

NPI number1295693471
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedJanuary 14, 2026
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address9147 Pittsfield St, Commerce Twp, MI 48382-4463

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