Provider Demographics
NPI:1821671652
Name:CEPEDA, MICHELLE (BSW, HHC)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:CEPEDA
Suffix:
Gender:F
Credentials:BSW, HHC
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:ANN
Other - Last Name:VENABLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW, HHC
Mailing Address - Street 1:2610 BREWER RD
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-6700
Mailing Address - Country:US
Mailing Address - Phone:864-548-3935
Mailing Address - Fax:864-538-3037
Practice Address - Street 1:2610 BREWER RD
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-6700
Practice Address - Country:US
Practice Address - Phone:864-548-3935
Practice Address - Fax:864-538-3037
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker