Individual provider Active NPI

Patti H Savage, LCSW-S

  • Clinical Social Worker
  • Bryan, TX
National Provider Identifier
1326636051
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
24584 Issued in TX
Practice address
2900 E 29TH St
Bryan, TX 77802-2622
Phone
(979) 774-8200
Fax
(877) 601-5854
NPI assigned
Jan 7, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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 24584 TX Primary

Addresses

Primary practice location

2900 E 29TH St
Bryan, TX 77802-2622

Mailing address

8441 State Highway 47 Ste 3115
Bryan, TX 77807-3207
Phone (979) 436-0483

Other practice location 1

13025 Joliet St
Houston, TX 77015-3624
Phone (832) 434-3232

Other practice location 2

8441 State Highway 47 Ste 1400
Bryan, TX 77807-3208
Phone (979) 774-8200

Other identifiers 2

IdentifierTypeStateIssuer
1M6502OtherTXMEDICARE
420383801MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Houston

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • 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
I20210301000640 TX Practitioner - Clinical Social Worker 8426464314 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24584TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Texas a&M University System Health Science Center CurrentSince Jan 1, 2021 Accepting new patients
Texas a&M University System Health Science Center CurrentSince Jan 1, 2021 Accepting new patients

Locations

1301 Memorial Dr
Ste 100
Bryan, TX 77802
Phone (979) 862-4465

2900 E 29th St
Bryan, TX 77802
Phone (979) 436-0700

2900 E 29th St
Ste 100
Bryan, TX 77802
Phone (979) 436-0485

2900 E 29th St
Ste 200
Bryan, TX 77802
Phone (979) 436-0483

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1326636051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8441 STATE HIGHWAY 47 STE 3115",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778073207",
            "telephone_number": "979-436-0483",
            "fax_number": "979-436-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778022622",
            "telephone_number": "979-774-8200",
            "fax_number": "877-601-5854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13025 Joliet St",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770153624",
            "country_code": "US",
            "telephone_number": "832-434-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8441 State Highway 47 Ste 1400",
            "address_purpose": "LOCATION",
            "city": "Bryan",
            "state": "TX",
            "postal_code": "778073208",
            "country_code": "US",
            "telephone_number": "979-774-8200",
            "fax_number": "877-601-5854",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "PATTI",
        "middle_name": "H",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2021-07-13",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "24584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1M6502",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420383801",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Houston",
            "affiliation": "N",
            "address_1": "13025 Joliet St",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770153624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bryan, TX

Sources for this page

Verify at the official NPI Registry.