Provider Demographics
NPI:1487738043
Name:BATTA, JANELLE JEAN (MSW)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:JEAN
Last Name:BATTA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:981 STATE ROAD 46 E STE D
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-7630
Mailing Address - Country:US
Mailing Address - Phone:812-933-1820
Mailing Address - Fax:812-932-1820
Practice Address - Street 1:981 STATE ROAD 46 E STE D
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-7630
Practice Address - Country:US
Practice Address - Phone:812-933-1820
Practice Address - Fax:812-932-1820
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2009-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34003351A1041C0700X
OHI-00059031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000143218OtherANTHEM
IN168660Medicare ID - Type Unspecified