Active NPI
Sherrill Michelle Dragovich, LISW
- Social Worker
- Columbus, OH
National Provider Identifier
1538423363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S1101064
- Practice address
- 20 S 3Rd St Ste 210
Columbus, OH 43215-4206 - Phone
- (330) 322-9455
- NPI assigned
- Jun 26, 2012
- Last updated
- Jul 27, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S1101064 | OH | Primary |
Addresses
Primary practice location
20 S 3Rd St Ste 210
Columbus, OH 43215-4206
Mailing address
9997 Rittman Rd
Wadsworth, OH 44281-9556
Phone (330) 322-9455
Other names 1
- Sherrill Michelle Luketic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1101064 | OH | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Current | Accepting new patients |
Locations
20 S 3rd St
Ste 210
Columbus, OH 43215
Phone (614) 208-4973
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658880000000",
"number": "1538423363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9997 RITTMAN RD",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442819556",
"telephone_number": "330-322-9455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 S 3RD ST STE 210",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432154206",
"telephone_number": "330-322-9455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGOVICH",
"first_name": "SHERRILL",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2022-07-27",
"certification_date": "2022-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S1101064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHERRILL",
"last_name": "LUKETIC",
"middle_name": "MICHELLE",
"credential": "MSW, LSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.