Provider Demographics
NPI:1376719468
Name:SENECAL-HUNT, MICHELLE-LEE E (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE-LEE
Middle Name:E
Last Name:SENECAL-HUNT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4149 BEACH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTH TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14120-9574
Mailing Address - Country:US
Mailing Address - Phone:716-417-3078
Mailing Address - Fax:
Practice Address - Street 1:4143 BEACH RIDGE RD
Practice Address - Street 2:
Practice Address - City:NORTH TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14120-9574
Practice Address - Country:US
Practice Address - Phone:716-417-3078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-08
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY081122104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker