Provider Demographics
NPI:1639359748
Name:KATZ, SHILOH RHEA (LMSW)
Entity Type:Individual
Prefix:
First Name:SHILOH
Middle Name:RHEA
Last Name:KATZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12818 W 77TH ST
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66216-3202
Mailing Address - Country:US
Mailing Address - Phone:785-760-3960
Mailing Address - Fax:913-825-9533
Practice Address - Street 1:12818 W 77TH ST
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66216-3202
Practice Address - Country:US
Practice Address - Phone:785-760-3960
Practice Address - Fax:913-825-9533
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-06
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS6941104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker