Provider Demographics
NPI:1780742965
Name:SHASKEY-SETRIGHT, JODY J (MS, LICSW)
Entity type:Individual
Prefix:MS
First Name:JODY
Middle Name:J
Last Name:SHASKEY-SETRIGHT
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Gender:F
Credentials:MS, LICSW
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Mailing Address - Street 1:1804 BROADWAY ST
Mailing Address - Street 2:SUITE 170
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-2718
Mailing Address - Country:US
Mailing Address - Phone:320-762-5124
Mailing Address - Fax:320-762-2422
Practice Address - Street 1:1804 BROADWAY ST
Practice Address - Street 2:SUITE 170
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-2718
Practice Address - Country:US
Practice Address - Phone:320-762-5124
Practice Address - Fax:320-762-2422
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MN075901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical