Family Supportive Services of Northern Michigan LLC
NPI 1164943353 · Clinical Social Worker · Cadillac, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Family Supportive Services of Northern Michigan LLC is a Clinical Social Worker organization in Cadillac, MI (NPI 1164943353).
Provider details
- NPI number
- 1164943353
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Deverman, Owner(231) 878-8189
- License
- 6801095051 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 19804 15 Mile RdLeroy, MI 49655-8323Phone: (231) 878-8189Fax: (517) 323-9531
Registry dates
- Enumerated
- 2017-06-28
- Last updated
- 2022-07-21
Frequently asked questions
- What is Family Supportive Services of Northern Michigan LLC's NPI number?
- Family Supportive Services of Northern Michigan LLC's National Provider Identifier (NPI) is 1164943353, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Family Supportive Services of Northern Michigan LLC?
- Family Supportive Services of Northern Michigan LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Family Supportive Services of Northern Michigan LLC located?
- Family Supportive Services of Northern Michigan LLC's practice location on file with NPPES is 121 N Mitchell St, Cadillac, MI 49601-1879.
- What is Family Supportive Services of Northern Michigan LLC's phone number?
- The practice phone number listed in the NPPES registry for Family Supportive Services of Northern Michigan LLC is (231) 878-8189.
- Does Family Supportive Services of Northern Michigan LLC accept Medicare?
- Family Supportive Services of Northern Michigan LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Family Supportive Services of Northern Michigan LLC?
- The authorized official listed on Family Supportive Services of Northern Michigan LLC's NPPES record is Jessica Deverman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Family Supportive Services of Northern Michigan LLC's NPI active?
- Yes — Family Supportive Services of Northern Michigan LLC's NPI (1164943353) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.