Provider Demographics
NPI:1841338332
Name:SAVAGE, BARBARA JEAN (MSW LCSW)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:JEAN
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:MSW LCSW
Other - Prefix:MISS
Other - First Name:BARBARA
Other - Middle Name:JEAN
Other - Last Name:DELLAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1807 CENTER GROTON RD
Mailing Address - Street 2:
Mailing Address - City:LEDYARD
Mailing Address - State:CT
Mailing Address - Zip Code:06339
Mailing Address - Country:US
Mailing Address - Phone:860-464-9384
Mailing Address - Fax:860-464-9384
Practice Address - Street 1:1807 CENTER GROTON RD
Practice Address - Street 2:
Practice Address - City:LEDYARD
Practice Address - State:CT
Practice Address - Zip Code:06339
Practice Address - Country:US
Practice Address - Phone:860-464-9384
Practice Address - Fax:860-464-9384
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2011-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT0033961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT140003396CT01OtherANTHEM BLUE CROSS BLUE SH
CT004205929Medicaid
CT140003396CT01OtherANTHEM BLUE CROSS BLUE SH