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NPI Code Detail

MEDICARE: ALEXANDRA SAVAGE LCSW

MEDICARE: ALEXANDRA 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
11041C0700XClinical Social Worker110869CA

General Provider Information

NPI Number : 1508405614
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRA SAVAGE LCSW
Provider Business Mailing Address
First Line : PO BOX 3551
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93403-3551
Country : US
Telephone Number : 562-304-9090
Fax Number :
Provider Business Practice Location Address
First Line : 2180 JOHNSON AVE
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-4558
Country : US
Telephone Number : 805-781-4969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2020
Last Update Date : 02/09/2026

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Directions to “ ALEXANDRA SAVAGE LCSW” Practice Location

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