Provider Demographics
NPI:1730747049
Name:LEIGHTON, SHERI JEAN (LMSW)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:JEAN
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:SHERI
Other - Middle Name:JEAN
Other - Last Name:POND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:3045 BAKER RD STE 1
Mailing Address - Street 2:
Mailing Address - City:DEXTER
Mailing Address - State:MI
Mailing Address - Zip Code:48130-1163
Mailing Address - Country:US
Mailing Address - Phone:517-748-3914
Mailing Address - Fax:
Practice Address - Street 1:3045 BAKER RD STE 1
Practice Address - Street 2:
Practice Address - City:DEXTER
Practice Address - State:MI
Practice Address - Zip Code:48130-1163
Practice Address - Country:US
Practice Address - Phone:517-748-3914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-01
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
68010871151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical