Provider Demographics
NPI:1891926457
Name:SAVAGE, LINDY JO (LICENSED CLINICAL SO)
Entity Type:Individual
Prefix:MS
First Name:LINDY
Middle Name:JO
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LICENSED CLINICAL SO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 WEST MILLS ST.
Mailing Address - Street 2:SUITE A
Mailing Address - City:COLUMBUS
Mailing Address - State:NC
Mailing Address - Zip Code:28922
Mailing Address - Country:US
Mailing Address - Phone:828-894-2222
Mailing Address - Fax:828-894-2229
Practice Address - Street 1:801 WEST MILLS ST.
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBUS
Practice Address - State:NC
Practice Address - Zip Code:28922
Practice Address - Country:US
Practice Address - Phone:828-894-2222
Practice Address - Fax:828-894-2229
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0007591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical