Provider Demographics
NPI:1720670961
Name:PIANKO, SHERRY LEE (LMSW)
Entity Type:Individual
Prefix:MS
First Name:SHERRY
Middle Name:LEE
Last Name:PIANKO
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 1:6350 TELEGRAPH RD APT 2
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-1681
Mailing Address - Country:US
Mailing Address - Phone:248-310-5656
Mailing Address - Fax:
Practice Address - Street 1:6350 TELEGRAPH RD APT 2
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48301-1681
Practice Address - Country:US
Practice Address - Phone:248-310-5656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801019193104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker