MEDICARE: SHONTELL BUFFINGTON LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	12396	LA

General Provider Information

NPI Number	:	1417474057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHONTELL BUFFINGTON LCSW

Provider Business Mailing Address
First Line	:	PO BOX 64594
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70896-4594
Country	:	US
Telephone Number	:	225-366-8766
Fax Number	:	225-208-1800

Provider Business Practice Location Address
First Line	:	3029 S SHERWOOD FOREST BLVD STE 205
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2276
Country	:	US
Telephone Number	:	225-366-8766
Fax Number	:	225-208-1800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2017
Last Update Date	:	11/01/2021

Similar Medicare Providers

1073013470 — FERRIN ROY CSW
Practice Location Address:

3029 S SHERWOOD FOREST BLVD
BATON ROUGE, LA
70816-2276

Practice Phone: 225-275-3039
Practice Fax:

1518610674 — MENDING THE SOUL RESTORATION OF THE MIND BODY AND SOUL
Practice Location Address:

3029 S SHERWOOD FOREST BLVD STE 205
BATON ROUGE, LA
70816-2276

Practice Phone: 225-366-8766
Practice Fax: 225-208-1800

1558293027 — RENEWED LIFE SOLUTIONS, LLC
Practice Location Address:

9800 AIRLINE HWY STE 213
BATON ROUGE, LA
70816-8195

Practice Phone: 225-308-1278
Practice Fax:

1376475558 — KRISTEN ELIZABETH BUTLER
Practice Location Address:

1243 WOODWAY DR
BATON ROUGE, LA
70816-1500

Practice Phone: 225-521-0311
Practice Fax: 225-521-0311

1356273379 — SOUTHERN SELECT MASSAGE THERAPY LLC
Practice Location Address:

1433 OLD HAMOND HWY , 302B
BATON ROUGE, LA
70816

Practice Phone: 225-272-1401
Practice Fax:

1528990546 — BAYLEE GRANING
Practice Location Address:

4314 S SHERWOOD FOREST BLVD STE A150
BATON ROUGE, LA
70816-4458

Practice Phone: 225-275-3177
Practice Fax:

Directions to “ SHONTELL BUFFINGTON LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.