Provider Demographics
NPI:1851332050
Name:ESSENMACHER, SHERYL M (LMSW)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:M
Last Name:ESSENMACHER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47218 UTICA ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-3460
Mailing Address - Country:US
Mailing Address - Phone:586-864-0024
Mailing Address - Fax:
Practice Address - Street 1:51424 VAN DYKE AVE
Practice Address - Street 2:SUITE #30
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48316-4444
Practice Address - Country:US
Practice Address - Phone:586-864-0024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-09
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801068122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIOM83680011Medicare PIN