Provider Demographics
NPI:1306285937
Name:BATT, SHELBY N (LMSW)
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:N
Last Name:BATT
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8921 W 21ST ST N STE 101
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67205-1994
Mailing Address - Country:US
Mailing Address - Phone:316-773-7323
Mailing Address - Fax:316-239-2645
Practice Address - Street 1:7348 W 21ST ST N STE 107
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67205-1765
Practice Address - Country:US
Practice Address - Phone:316-779-2560
Practice Address - Fax:316-854-2303
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-17
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW45211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical