Provider Demographics
NPI:1174267934
Name:MURPHY, SAVANNA WREN (MSW)
Entity Type:Individual
Prefix:
First Name:SAVANNA
Middle Name:WREN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2852 SCOTT ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60131-2527
Mailing Address - Country:US
Mailing Address - Phone:608-852-3407
Mailing Address - Fax:
Practice Address - Street 1:2852 SCOTT ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN PARK
Practice Address - State:IL
Practice Address - Zip Code:60131-2527
Practice Address - Country:US
Practice Address - Phone:608-852-3407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker