Provider Demographics
NPI:1477942415
Name:SAVAGE, LEAH NOEL (LASW)
Entity Type:Individual
Prefix:MS
First Name:LEAH
Middle Name:NOEL
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LASW
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:NOEL
Other - Last Name:WEIGLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:325 W GOWE ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-5892
Mailing Address - Country:US
Mailing Address - Phone:253-336-4730
Mailing Address - Fax:253-661-6428
Practice Address - Street 1:33301 1ST WAY S
Practice Address - Street 2:SUITE C-115
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6252
Practice Address - Country:US
Practice Address - Phone:253-336-4730
Practice Address - Fax:253-661-6428
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA604909591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical