Individual provider Active NPI

Linda Ann Edwards Savage, MSW LICSW

  • Clinical Social Worker
  • Cedarburg, WI
National Provider Identifier
1972657047
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1497123 Issued in WI
Practice address
W62N248 Washington Avenue
Suite #207 Northshore Clinic and Consultants Inc
Cedarburg, WI 53012
Phone
(262) 375-1116
Fax
(262) 375-1071
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1497123 WI Primary

Addresses

Primary practice location

W62N248 Washington Avenue
Suite #207 Northshore Clinic and Consultants Inc
Cedarburg, WI 53012

Mailing address

W62N248 Washington Avenue
Suite #207
Cedarburg, WI 53012
Phone (262) 375-1116

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
1497123WIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972657047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W62N248 WASHINGTON AVENUE",
            "address_2": "SUITE #207",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "53012",
            "telephone_number": "262-375-1116",
            "fax_number": "262-375-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W62N248 WASHINGTON AVENUE",
            "address_2": "SUITE #207 NORTHSHORE CLINIC AND CONSULTANTS INC",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "53012",
            "telephone_number": "262-375-1116",
            "fax_number": "262-375-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS SAVAGE",
        "first_name": "LINDA",
        "middle_name": "ANN",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1497123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.