Jericho Detherage, LLMSW

NPI 1295693471 · on the registry since 2026 · sole proprietor

Practice

Address: 1050 W University Dr
Rochester, MI 48307
Phone: (586) 944-2902
Organisation at this address: Thomas Dme, Llc
Alpha Home Care, Llc
Oakland Medicine And Rehab
Oakland Physical Medicine And Rehab
Marina Rehabilitation And Health Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 10

Registry record

Primary taxonomy: Social Worker
104100000X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan