Provider Demographics
NPI:1568400190
Name:HARSHFIELD, MICHELLE A (LSCSW)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:A
Last Name:HARSHFIELD
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 E HARRY ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-3713
Mailing Address - Country:US
Mailing Address - Phone:316-689-4850
Mailing Address - Fax:316-689-5115
Practice Address - Street 1:3600 E HARRY ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-3713
Practice Address - Country:US
Practice Address - Phone:316-689-4850
Practice Address - Fax:316-689-5115
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-04
Last Update Date:2018-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6053104100000X
KS4058104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS14911OtherPREFERRED HEALTH SYSTEMS
KS201741OtherBLUE CROSS BLUE SHIELD