Provider Demographics
NPI:1851518724
Name:SAVAGE, CATHERINE L (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:CATHERINE
Middle Name:L
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6284 WHISPER BEND DR
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-4856
Mailing Address - Country:US
Mailing Address - Phone:314-293-1611
Mailing Address - Fax:
Practice Address - Street 1:6013 HAMPTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63109-3608
Practice Address - Country:US
Practice Address - Phone:314-293-2688
Practice Address - Fax:314-457-1307
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOSW002758101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO086553OtherVALUE OPTIONS
MO6256513OtherUBH
MO450080OtherHEALTHLINK