Provider Demographics
NPI:1366431223
Name:PAYTON-HAMPTON, SHERI LYNN (MSW LISW)
Entity type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:LYNN
Last Name:PAYTON-HAMPTON
Suffix:
Gender:F
Credentials:MSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1088
Mailing Address - Street 2:645 CAREY STREET
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43702-1088
Mailing Address - Country:US
Mailing Address - Phone:740-453-2727
Mailing Address - Fax:740-453-2727
Practice Address - Street 1:645 CAREY ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-4803
Practice Address - Country:US
Practice Address - Phone:740-453-2727
Practice Address - Fax:740-453-2727
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-13
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10500062104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SW34021Medicare PIN