MRS. JESSICA AMBER BAZAN DERAEDT LMSW
NPI 1083170963
Social Worker - Clinical in Jackson, MI
NPI Status: Active since February 15, 2019
Contact Information
1108 HOMEWILD AVE
JACKSON, MI
ZIP 49201
Phone: (231) 679-0648
- Individual
- Female
- Social Worker
- Clinical
About JESSICA BAZAN DERAEDT
This page provides the complete NPI Profile along with additional information for Jessica Bazan Deraedt, a provider established in Jackson, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1083170963 assigned on February 2019. The practitioner's primary taxonomy code is 1041C0700X with license number 6801101750 (MI). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1083170963
- Provider Name
- MRS. JESSICA AMBER BAZAN DERAEDT LMSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1108 HOMEWILD AVE JACKSON, MI 49201
- Location Phone
- (231) 679-0648
- Mailing Address
- 1108 HOMEWILD AVE JACKSON, MI 49201
- Mailing Phone
- (231) 679-0648
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 02-15-2019
- Last Update Date
- 07-17-2020
- Code Navigator
A clinical social worker like Jessica Bazan Deraedt is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker Clinical
- Taxonomy Code
- 1041C0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 6801101750
- License State
- MI
- Taxonomy Description
- A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 1 | 7 | 0 | 9 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 2 | 7 | 0 | 9 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 2 + 7 + 0 + 9 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1083170963 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083170963, enumerated in the NPI registry as an "individual" on February 15, 2019
The provider is located at 1108 Homewild Ave Jackson, Mi 49201 and the phone number is (231) 679-0648
The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical
This NPI record was last updated on February 15, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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