Search › Michigan › 1041C0700X
Jamie Derevage, LMSW, SSW
NPI 1437054632 · on the registry since 2026
Practice
- Address
- 21175 15 Mile Rd
Big Rapids, MI 49307 - Phone
- (231) 796-7651
- Organisation at this address
- Mecosta County Medical Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 927 Marion Ave, Big Rapids, MI
- 408 W Bellevue St, Big Rapids, MI
- 215 N State St, Big Rapids, MI
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 1041S0200X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-10-09
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