Basic Information
| Provider Information | |||||||||
| NPI: | 1265919997 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SAVOY | ||||||||
| FirstName: | CHIQUITA | ||||||||
| MiddleName: | MICHELE | ||||||||
| NamePrefix: | |||||||||
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| Credential: | MASTER SOCIAL WORK | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1799 STUMPF BLVD | ||||||||
| Address2: | |||||||||
| City: | TERRYTOWN | ||||||||
| State: | LA | ||||||||
| PostalCode: | 700563950 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5043422704 | ||||||||
| FaxNumber: | 5046177813 | ||||||||
| Practice Location | |||||||||
| Address1: | 2235 POYDRAS ST | ||||||||
| Address2: | |||||||||
| City: | NEW ORLEANS | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701197561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5048148001 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/25/2018 | ||||||||
| LastUpdateDate: | 02/28/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
| IsOrganizationSubpart: | |||||||||
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| NPICertificationDate: | 02/28/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171M00000X | Y | Other Service Providers | Case Manager/Care Coordinator |
No ID Information.