MEDICARE: JAIME SAVAGE LCSW-C

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	21834	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21834	OTHER	MD	STATE LICENSE

General Provider Information

NPI Number	:	1902574387
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAIME SAVAGE LCSW-C

Provider Business Mailing Address
First Line	:	10125 COLESVILLE RD STE 211
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20901-2457
Country	:	US
Telephone Number	:	202-964-3957
Fax Number	:

Provider Business Practice Location Address
First Line	:	8403 COLESVILLE RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6331
Country	:	US
Telephone Number	:	202-964-3957
Fax Number	:

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

Provider Enumeration Date	:	09/01/2021
Last Update Date	:	09/01/2021

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