Provider Demographics
NPI:1699218875
Name:SETZER, TRACY CHAVONNE (LCSWA)
Entity Type:Individual
Prefix:MS
First Name:TRACY
Middle Name:CHAVONNE
Last Name:SETZER
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9501 CLIFTON MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-8485
Mailing Address - Country:US
Mailing Address - Phone:704-499-2043
Mailing Address - Fax:
Practice Address - Street 1:9635 SOUTHERN PINE BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5540
Practice Address - Country:US
Practice Address - Phone:704-491-3097
Practice Address - Fax:704-625-7120
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical