MEDICARE: JAMIE SAVAGE 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	104100000X	Social Worker	SWB-2026-0294	NM

General Provider Information

NPI Number	:	1740968619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE SAVAGE LCSW

Provider Business Mailing Address
First Line	:	3023 KINGS CANYON LOOP NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-7667
Country	:	US
Telephone Number	:	505-504-3226
Fax Number	:

Provider Business Practice Location Address
First Line	:	3023 KINGS CANYON LOOP NE
Second Line	:
City	:	RIO RANCHO
State	:	NM
Zip	:	87144-7667
Country	:	US
Telephone Number	:	505-504-3226
Fax Number	:

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

Provider Enumeration Date	:	07/10/2023
Last Update Date	:	03/10/2026

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