Individual provider Active NPI

Shelby N Batt, LMSW

  • Clinical Social Worker
  • Wichita, KS
National Provider Identifier
1306285937
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LSCSW4521 Issued in KS
Practice address
7348 W 21St St N Ste 107
Wichita, KS 67205-1765
Phone
(316) 779-2560
Fax
(316) 854-2303
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LSCSW4521 KS Primary

Addresses

Primary practice location

7348 W 21St St N Ste 107
Wichita, KS 67205-1765

Mailing address

8921 W 21St St N Ste 101
Wichita, KS 67205-1994
Phone (316) 773-7323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210810001498 KS Practitioner - Clinical Social Worker 0244545861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Willow Tree LLCGroup PAC ID 1658686324, 6 clinicians

Practice addresses (Care Compare)

7348 W 21St St N
Wichita, KS 67205-1765
Phone (316) 779-2560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LSCSW4521KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Willow Tree LLC CurrentSince Aug 1, 2021 Accepting new patients
Michael Baker Social Worker Past Accepting new patients

Locations

7348 W 21st St N
Ste 107
Wichita, KS 67205
Phone (316) 779-2560

151 N Ridge Rd
Ste 6
Wichita, KS 67212
Phone (316) 295-6845

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1306285937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8921 W 21ST ST N STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051994",
            "telephone_number": "316-773-7323",
            "fax_number": "316-239-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7348 W 21ST ST N STE 107",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051765",
            "telephone_number": "316-779-2560",
            "fax_number": "316-854-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATT",
        "first_name": "SHELBY",
        "middle_name": "N",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KS",
            "license": "LSCSW4521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.