Provider Demographics
NPI:1679125777
Name:ORTEN, SHAYLA JEAN (LMSW)
Entity Type:Individual
Prefix:
First Name:SHAYLA
Middle Name:JEAN
Last Name:ORTEN
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 1:707 GRANT ST
Mailing Address - Street 2:
Mailing Address - City:ATWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:67730-1526
Mailing Address - Country:US
Mailing Address - Phone:785-626-3211
Mailing Address - Fax:
Practice Address - Street 1:707 GRANT ST
Practice Address - Street 2:
Practice Address - City:ATWOOD
Practice Address - State:KS
Practice Address - Zip Code:67730-1526
Practice Address - Country:US
Practice Address - Phone:785-626-3211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-10
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11359104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty