Provider Demographics
NPI:1538513239
Name:SAVAGE, APRIL NICOLE (LCAS,LCSW-A, LCSW)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:NICOLE
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LCAS,LCSW-A, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 TUGGIE EURE RD
Mailing Address - Street 2:
Mailing Address - City:EURE
Mailing Address - State:NC
Mailing Address - Zip Code:27935-9681
Mailing Address - Country:US
Mailing Address - Phone:252-287-5600
Mailing Address - Fax:252-357-0797
Practice Address - Street 1:733 2ND AVENUE
Practice Address - Street 2:
Practice Address - City:KOTZEBUE
Practice Address - State:AK
Practice Address - Zip Code:99752
Practice Address - Country:US
Practice Address - Phone:907-442-7640
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-19
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC22210101YA0400X
NCC0113111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)