Healthcare Provider Details

I. General information

NPI: 1841338332
Provider Name (Legal Business Name): BARBARA JEAN SAVAGE MSW LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS BARBARA JEAN DELLAY

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 11/21/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1807 CENTER GROTON RD
LEDYARD CT
06339
US

IV. Provider business mailing address

1807 CENTER GROTON RD
LEDYARD CT
06339
US

V. Phone/Fax

Practice location:
  • Phone: 860-464-9384
  • Fax: 860-464-9384
Mailing address:
  • Phone: 860-464-9384
  • Fax: 860-464-9384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCT003396
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: