Provider Demographics
NPI:1134662745
Name:SAVOY, JEFFEY (LCSW)
Entity Type:Individual
Prefix:
First Name:JEFFEY
Middle Name:
Last Name:SAVOY
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 BALDWIN AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-2701
Mailing Address - Country:US
Mailing Address - Phone:516-476-0428
Mailing Address - Fax:516-867-2694
Practice Address - Street 1:696 BALDWIN AVE
Practice Address - Street 2:
Practice Address - City:NORTH BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-2701
Practice Address - Country:US
Practice Address - Phone:516-476-0428
Practice Address - Fax:516-867-2694
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-30
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069362-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical