Provider Demographics
NPI:1093409732
Name:HAYES, SAVANNA JOY (LCSW)
Entity type:Individual
Prefix:
First Name:SAVANNA
Middle Name:JOY
Last Name:HAYES
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 1:301 N BROADWAY STE 303
Mailing Address - Street 2:
Mailing Address - City:DE PERE
Mailing Address - State:WI
Mailing Address - Zip Code:54115-2557
Mailing Address - Country:US
Mailing Address - Phone:920-878-4037
Mailing Address - Fax:
Practice Address - Street 1:301 N BROADWAY STE 303
Practice Address - Street 2:
Practice Address - City:DE PERE
Practice Address - State:WI
Practice Address - Zip Code:54115-2557
Practice Address - Country:US
Practice Address - Phone:949-525-1092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-06
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI12693-1231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical