Provider Demographics
NPI:1538423363
Name:DRAGOVICH, SHERRILL MICHELLE (LISW)
Entity type:Individual
Prefix:MS
First Name:SHERRILL
Middle Name:MICHELLE
Last Name:DRAGOVICH
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:SHERRILL
Other - Middle Name:MICHELLE
Other - Last Name:LUKETIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:9997 RITTMAN RD
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-9556
Mailing Address - Country:US
Mailing Address - Phone:330-322-9455
Mailing Address - Fax:
Practice Address - Street 1:20 S 3RD ST STE 210
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-4206
Practice Address - Country:US
Practice Address - Phone:330-322-9455
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1101064104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker