Provider Demographics
NPI:1962573154
Name:BATTEN, JEAN MURPHREE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:JEAN
Middle Name:MURPHREE
Last Name:BATTEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910A BRIARCLIFF RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-3077
Mailing Address - Country:US
Mailing Address - Phone:336-748-9070
Mailing Address - Fax:336-773-0332
Practice Address - Street 1:2910A BRIARCLIFF RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3077
Practice Address - Country:US
Practice Address - Phone:336-748-9070
Practice Address - Fax:336-773-0332
Is Sole Proprietor?:No
Enumeration Date:2006-11-11
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0009171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13026OtherBLUE CROSS.BLUE SHIELD
NC19228500OtherMAGELLAN PROVIDER NO
NC7633198OtherAETNA
NC6002812Medicaid
NC19228500OtherMAGELLAN PROVIDER NO