Individual provider Active NPI

Alyssa K Savage, LSWA

  • Social Worker
  • Lutherville, MD
National Provider Identifier
1639405012
Registry record updated Oct 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
A05021 Issued in MD
Practice address
1407 York Rd
Suite 309
Lutherville, MD 21093-6097
Phone
(410) 825-2281
Fax
(410) 825-0757
NPI assigned
Oct 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X A05021 MD Primary

Addresses

Primary practice location

1407 York Rd
Suite 309
Lutherville, MD 21093-6097

Mailing address

1407 York Rd
Suite 309
Lutherville, MD 21093-6097
Phone (410) 825-2281

Other identifiers 1

IdentifierTypeStateIssuer
A05021OtherMDMARYLAND STATE BOARD OF SOCIAL WORK EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05021MDMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1639405012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 YORK RD",
            "address_2": "SUITE 309",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936097",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 YORK RD",
            "address_2": "SUITE 309",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210936097",
            "telephone_number": "410-825-2281",
            "fax_number": "410-825-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVAGE",
        "first_name": "ALYSSA",
        "middle_name": "K",
        "credential": "LSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "A05021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND STATE BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "A05021",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lutherville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.