Savannah Leigh Black, LCSW-A

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P014087 Issued in NC

Practice address

610A Old Tar Village Rd
Winterville, NC 28590-7936

Phone

(252) 364-8972

Fax

(252) 364-8971

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smeg Family Mental Health

  • Psychiatric/Mental Health Registered Nurse
  • Winterville, NC
  • NPI 1578986931
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1104475086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610A OLD TAR VILLAGE RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907936",
            "telephone_number": "252-364-8972",
            "fax_number": "252-364-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610A OLD TAR VILLAGE RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285907936",
            "telephone_number": "252-364-8972",
            "fax_number": "252-364-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SAVANNAH",
        "middle_name": "LEIGH",
        "credential": "LCSW-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Fedash Beck, MS, LPC
• Macy Becker, FNP
• Anthony L Bell
• Bio-Medical Applications of North Carolina, Inc. (Fresenius Kidney Care Captains Cove)
• Jennifer Nicole Black, DPT
• Sarah Blakely
• Blue Star Transit
• Pamela L Boyd
• Louise Bradshaw, MD
• Avery Rae Braswell

• Clinical Social Worker in Winterville, NC
• Providers in Winterville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.