Provider Demographics
NPI:1629467519
Name:BILTZ, ELIZABETH A (LMSW)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:BILTZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:A
Other - Last Name:WARRINGTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3310 E DOUGLAS AVE STE 105
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-3316
Mailing Address - Country:US
Mailing Address - Phone:316-272-0077
Mailing Address - Fax:316-941-8090
Practice Address - Street 1:3310 E DOUGLAS AVE STE 105
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-3316
Practice Address - Country:US
Practice Address - Phone:316-272-0077
Practice Address - Fax:316-941-8090
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-14
Last Update Date:2020-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS8899104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker