Provider Demographics
NPI:1578844247
Name:SWINEHART, SHERRI LYNN (MA, LPC, LMSW)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:LYNN
Last Name:SWINEHART
Suffix:
Gender:F
Credentials:MA, LPC, LMSW
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:LYNN
Other - Last Name:FICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:487 S DRAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-3236
Mailing Address - Country:US
Mailing Address - Phone:269-779-7577
Mailing Address - Fax:269-775-1121
Practice Address - Street 1:487 S DRAKE RD STE B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-3236
Practice Address - Country:US
Practice Address - Phone:269-779-7577
Practice Address - Fax:269-888-2130
Is Sole Proprietor?:No
Enumeration Date:2011-09-07
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401010135101Y00000X, 101YA0400X, 101YM0800X, 101YP2500X
MI68010987561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional