Individual provider Active NPI

Deanna Irene Savage, LCSW

  • Clinical Social Worker
  • Holly, MI
National Provider Identifier
1245697317
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091524 Issued in MI
Practice address
9426 Milford Rd
Holly, MI 48442-9166
Phone
(248) 778-5687
NPI assigned
Jan 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801091524 MI Primary

Addresses

Primary practice location

9426 Milford Rd
Holly, MI 48442-9166

Mailing address

9426 Milford Rd
Holly, MI 48442-9166
Phone (248) 778-5687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160205000615 MI Practitioner - Clinical Social Worker 3375847700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
J Flack PSYD PCGroup PAC ID 0547426264, 10 clinicians

Practice addresses (Care Compare)

127 N River St
Fenton, MI 48430-3800
Phone (810) 309-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
J Flack PSYD PC Social Worker CurrentSince Aug 1, 2021 Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients
Fenton Wellness Social Worker PastSince Aug 1, 2021 Accepting new patients

Locations

127 N River St
Fenton, MI 48430
Phone (810) 309-9355

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1245697317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9426 MILFORD RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429166",
            "telephone_number": "248-778-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9426 MILFORD RD",
            "city": "HOLLY",
            "state": "MI",
            "postal_code": "484429166",
            "telephone_number": "248-778-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "DEANNA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, MI

Sources for this page

Verify at the official NPI Registry.