| Shellie K Babcock, Lcsw Llc | |
|
705 50th St Kenosha WI 53140-3336 | |
| (262) 564-5305 | |
| (262) 564-5306 |
| Full Name | Shellie K Babcock, Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 705 50th St, Kenosha, Wisconsin |
| Authorized Official Name and Position | Shellie K Babcock (LCSW) |
| Authorized Official Contact | 2625645305 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shellie K Babcock, Lcsw Llc 6123 Green Bay Rd Ste 240 Kenosha WI 53142-2927 Ph: (262) 564-5305 | Shellie K Babcock, Lcsw Llc 705 50th St Kenosha WI 53140-3336 Ph: (262) 564-5305 |
| NPI Number | 1750747325 |
|---|---|
| Provider Enumeration Date | 01/12/2016 |
| Last Update Date | 05/14/2019 |
| Medicare PECOS PAC ID | 5698064046 |
|---|---|
| Medicare Enrollment ID | O20160525001266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750747325 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 7968-123 (Wisconsin) | Primary |
| Provider Name | Shellie Kaye Babcock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619398005 PECOS PAC ID: 7618107921 Enrollment ID: I20140306002100 |
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