Provider Demographics
NPI:1619231644
Name:BATT CAMPBELL, LEE ANN (MS, LSCSW)
Entity Type:Individual
Prefix:MS
First Name:LEE ANN
Middle Name:
Last Name:BATT CAMPBELL
Suffix:
Gender:F
Credentials:MS, LSCSW
Other - Prefix:MS
Other - First Name:LEE ANN
Other - Middle Name:
Other - Last Name:BATT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LSCSW
Mailing Address - Street 1:1660 N TYLER RD STE A
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-4918
Mailing Address - Country:US
Mailing Address - Phone:316-789-6368
Mailing Address - Fax:316-789-6349
Practice Address - Street 1:1660 N TYLER RD STE A
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-4918
Practice Address - Country:US
Practice Address - Phone:316-789-6368
Practice Address - Fax:316-789-6349
Is Sole Proprietor?:No
Enumeration Date:2012-06-25
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200969500AMedicaid
KSKA3985001Medicare PIN