Shellie K Babcock, Lcsw Llc | |
705 50th St Kenosha WI 53140-3336 | |
(262) 564-5305 | |
(262) 564-5306 |
Full Name | Shellie K Babcock, Lcsw Llc |
---|---|
Speciality | Social Worker |
Location | 705 50th St, Kenosha, Wisconsin |
Authorized Official Name and Position | Shellie K Babcock (LCSW) |
Authorized Official Contact | 2625645305 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shellie K Babcock, Lcsw Llc 6123 Green Bay Rd Ste 240 Kenosha WI 53142-2927 Ph: (262) 564-5305 | Shellie K Babcock, Lcsw Llc 705 50th St Kenosha WI 53140-3336 Ph: (262) 564-5305 |
NPI Number | 1750747325 |
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Provider Enumeration Date | 01/12/2016 |
Last Update Date | 05/14/2019 |
Medicare PECOS PAC ID | 5698064046 |
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Medicare Enrollment ID | O20160525001266 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750747325 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 7968-123 (Wisconsin) | Primary |
Provider Name | Shellie Kaye Babcock |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619398005 PECOS PAC ID: 7618107921 Enrollment ID: I20140306002100 |
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