MEDICARE: MRS. KERRY J BOONE-SAVINSKY 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	0904005305	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	278445	OTHER	ANTHEM HEALTH KEEPERS
2	P00129392	OTHER	MCARE RAILROAD
3	278445	OTHER	ANTHEM PPO
4	327264	OTHER	MANAGED HEALTH NETWORK
5	2109308	OTHER	MAMSI
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	081722M	OTHER	SENTARA OPTIMA
8	221420	OTHER	COM PSYCH
9	560284	OTHER	MAGELLAN

General Provider Information

NPI Number	:	1467425470
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KERRY J BOONE-SAVINSKY LCSW

Provider Business Mailing Address
First Line	:	3419 VIRGINIA BEACH BLVD # 800
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-4419
Country	:	US
Telephone Number	:	757-714-1838
Fax Number	:	757-321-6269

Provider Business Practice Location Address
First Line	:	228 N LYNNHAVEN RD STE 110
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-7514
Country	:	US
Telephone Number	:	757-912-6214
Fax Number	:	757-321-6269

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

Provider Enumeration Date	:	02/09/2006
Last Update Date	:	04/29/2013

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Directions to “ MRS. KERRY J BOONE-SAVINSKY LCSW” Practice Location

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