Shellie K Babcock, LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7968-123 Issued in WI

Legal business name

SHELLIE K BABCOCK, LCSW LLC

Practice address

705 50TH St
Kenosha, WI 53140-3336

Phone

(262) 564-5305

Fax

(262) 564-5306

NPI assigned

Jan 12, 2016

Last updated

May 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shellie K Babcock, LCSWNPI 1619398005

Title

LCSW

Phone

(262) 564-5305

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shellie K Babcock, LCSW

  • Community/Behavioral Health Agency
  • Kenosha, WI
  • NPI 1619398005
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557792000000",
    "number": "1750747325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6123 GREEN BAY RD STE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531422927",
            "telephone_number": "262-564-5305",
            "fax_number": "262-564-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 50TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403336",
            "telephone_number": "262-564-5305",
            "fax_number": "262-564-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLIE K BABCOCK, LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2019-05-14",
        "status": "A",
        "authorized_official_last_name": "BABCOCK",
        "authorized_official_first_name": "SHELLIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "262-564-5305",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7968-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randa Ahmed Sharag Eldin, MD
• Umair Sharih
• Venkata Krishna Sharma, MD
• Kelly Shaw, MS CCC-SLP
• Joanne Sheen
• Alison Amalia Shelton, FNP-BC
• Tori Shelton, LPC-IT
• Neil A Shepler, MD
• Sheridan Medical LLC (Sheridan Medical Complex)
• Jenna M Sherman, ATC

• Clinical Social Worker in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.