MEDICARE: SAVANNAH ALDRIDGE

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	P016453	NC

General Provider Information

NPI Number	:	1982377883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH ALDRIDGE

Provider Business Mailing Address
First Line	:	2242 CEDAR ROCK CIR
Second Line	:
City	:	LENOIR
State	:	NC
Zip	:	28645-9128
Country	:	US
Telephone Number	:	828-292-6004
Fax Number	:

Provider Business Practice Location Address
First Line	:	2242 CEDAR ROCK CIR
Second Line	:
City	:	LENOIR
State	:	NC
Zip	:	28645-9128
Country	:	US
Telephone Number	:	828-292-6004
Fax Number	:

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

Provider Enumeration Date	:	07/27/2021
Last Update Date	:	07/22/2024

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Directions to “ SAVANNAH ALDRIDGE ” Practice Location

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