Provider Demographics
NPI:1760849749
Name:SETH, CHRISTI (LISW)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:
Last Name:SETH
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:CHRISTI
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1228 EUCLID AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-1834
Mailing Address - Country:US
Mailing Address - Phone:216-619-6194
Mailing Address - Fax:
Practice Address - Street 1:5021 STATE RD
Practice Address - Street 2:
Practice Address - City:ASHTABULA
Practice Address - State:OH
Practice Address - Zip Code:44004-6265
Practice Address - Country:US
Practice Address - Phone:440-354-7364
Practice Address - Fax:440-536-5865
Is Sole Proprietor?:No
Enumeration Date:2016-01-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW131514104100000X
OHS1500143104100000X
PACW0196731041C0700X
OHI.17006891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker