Shonda Ratzloff, LMSW
Individual provider Active NPI Social Worker · Halstead, KS
NPI 1700568359 · NPPES record last updated Aug 8, 2023
Key facts
- NPI
- 1700568359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 13300 (KS)
- Practice address
- 126 Main St
Halstead, KS 67056-1708 - Phone
- (316) 835-3700
- Fax
- (316) 283-1333
- NPI assigned
- Aug 3, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13300 | KS | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Ministries Clinic, Inc. | Past | Accepting new patients | |
| Health Ministries Clinic, Inc | Past | Accepting new patients | |
| Health Ministries Clinic, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 13300 | KS | Yes |
Addresses
Primary practice location
126 Main St
Halstead, KS 67056-1708
Mailing address
720 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 283-6103
Other practice location 1
720 Medical Center Dr
Newton, KS 67114-8778
Phone (316) 283-6103 ext. 5170
Other providers in Halstead, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.