Healthcare Provider Details

I. General information

NPI: 1487738043
Provider Name (Legal Business Name): JANELLE JEAN BATTA MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 04/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

981 STATE ROAD 46 E STE D
BATESVILLE IN
47006-7630
US

IV. Provider business mailing address

981 STATE ROAD 46 E STE D
BATESVILLE IN
47006-7630
US

V. Phone/Fax

Practice location:
  • Phone: 812-933-1820
  • Fax: 812-932-1820
Mailing address:
  • Phone: 812-933-1820
  • Fax: 812-932-1820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number34003351A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-0005903
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: