Provider Demographics
NPI:1912794975
Name:HATFIELD, EMILY RENEE (BSW)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:RENEE
Last Name:HATFIELD
Suffix:
Gender:
Credentials:BSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67201-0670
Mailing Address - Country:US
Mailing Address - Phone:316-269-4160
Mailing Address - Fax:316-269-3550
Practice Address - Street 1:1010 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-3609
Practice Address - Country:US
Practice Address - Phone:316-269-4160
Practice Address - Fax:316-269-3550
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker