Provider Demographics
NPI:1154713709
Name:SLAUGHTER, SHI-METRIA (LMSW)
Entity type:Individual
Prefix:
First Name:SHI-METRIA
Middle Name:
Last Name:SLAUGHTER
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:SHI-METRIA
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:934 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-3838
Mailing Address - Country:US
Mailing Address - Phone:316-660-7500
Mailing Address - Fax:316-660-1897
Practice Address - Street 1:635 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3602
Practice Address - Country:US
Practice Address - Phone:316-660-7600
Practice Address - Fax:316-941-5075
Is Sole Proprietor?:No
Enumeration Date:2015-02-19
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS056071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical