Provider Demographics
NPI:1457177628
Name:BREWER, SAVANA (LLMSW)
Entity type:Individual
Prefix:
First Name:SAVANA
Middle Name:
Last Name:BREWER
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20727 GENTNER ST
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48089-3423
Mailing Address - Country:US
Mailing Address - Phone:989-272-3103
Mailing Address - Fax:
Practice Address - Street 1:20727 GENTNER ST
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48089-3423
Practice Address - Country:US
Practice Address - Phone:989-272-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI374J00000X
MI6851115676104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No374J00000XNursing Service Related ProvidersDoula