Provider Demographics
NPI:1578387908
Name:MEISNER, SAVANA REUBEN (MSW, LSW)
Entity type:Individual
Prefix:
First Name:SAVANA
Middle Name:REUBEN
Last Name:MEISNER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:JAMESTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80455-0248
Mailing Address - Country:US
Mailing Address - Phone:303-817-3805
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 248
Practice Address - Street 2:
Practice Address - City:JAMESTOWN
Practice Address - State:CO
Practice Address - Zip Code:80455-0248
Practice Address - Country:US
Practice Address - Phone:303-817-3805
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLSW.00099226131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical