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:PO BOX 13
Mailing Address - Street 2:
Mailing Address - City:GRASS LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:49240-0013
Mailing Address - Country:US
Mailing Address - Phone:517-748-3914
Mailing Address - Fax:
Practice Address - Street 1:11000 CEDAR KNOLL DR STE A-2
Practice Address - Street 2:
Practice Address - City:GRASS LAKE
Practice Address - State:MI
Practice Address - Zip Code:49240-9811
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:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010871151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty