Healthcare Provider Details

I. General information

NPI: 1366431223
Provider Name (Legal Business Name): SHERI LYNN PAYTON-HAMPTON MSW LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/13/2005
Last Update Date: 08/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 CAREY ST
ZANESVILLE OH
43701-4803
US

IV. Provider business mailing address

PO BOX 1088 645 CAREY STREET
ZANESVILLE OH
43702-1088
US

V. Phone/Fax

Practice location:
  • Phone: 740-453-2727
  • Fax: 740-453-2727
Mailing address:
  • Phone: 740-453-2727
  • Fax: 740-453-2727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number10500062
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10500062
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: