Provider Demographics
NPI:1851973242
Name:SETY, MICHELLE R (LICSWA)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:R
Last Name:SETY
Suffix:
Gender:F
Credentials:LICSWA
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:R
Other - Last Name:TREMBLAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSWA
Mailing Address - Street 1:511 W ROLLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99218-2626
Mailing Address - Country:US
Mailing Address - Phone:509-993-3407
Mailing Address - Fax:
Practice Address - Street 1:511 W ROLLAND AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99218-2626
Practice Address - Country:US
Practice Address - Phone:509-993-3407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-25
Last Update Date:2021-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC609323141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical