Provider Demographics
NPI:1447464029
Name:SAVAGE, LAUREN WEISBERG (LCSW ACSW R)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:WEISBERG
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LCSW ACSW R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2031 MCCLELLAN STREET
Mailing Address - Street 2:
Mailing Address - City:NISKAQUHA
Mailing Address - State:NY
Mailing Address - Zip Code:12309
Mailing Address - Country:US
Mailing Address - Phone:518-377-2150
Mailing Address - Fax:518-377-8868
Practice Address - Street 1:1411 UNION STREET
Practice Address - Street 2:
Practice Address - City:SCHEN
Practice Address - State:NY
Practice Address - Zip Code:12308
Practice Address - Country:US
Practice Address - Phone:518-377-8846
Practice Address - Fax:518-377-8868
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR0130131104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker