Provider Demographics
NPI:1184344210
Name:MERWIN, SAVANNAH (LCSW, LAC)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:MERWIN
Suffix:
Gender:F
Credentials:LCSW, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11864 BELLAIRE CIR
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1751
Mailing Address - Country:US
Mailing Address - Phone:303-909-5859
Mailing Address - Fax:
Practice Address - Street 1:11864 BELLAIRE CIR
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-1751
Practice Address - Country:US
Practice Address - Phone:720-689-3439
Practice Address - Fax:720-343-4231
Is Sole Proprietor?:No
Enumeration Date:2022-08-30
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099305301041C0700X
COACD.0002408101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)