Provider Demographics
NPI:1528328853
Name:SAVAGE, CHERYL COLLIER (LCSW)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:COLLIER
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3747 HIGHWAY UU
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-3508
Mailing Address - Country:US
Mailing Address - Phone:314-496-5646
Mailing Address - Fax:
Practice Address - Street 1:200 W 12TH ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MO
Practice Address - Zip Code:63090-4442
Practice Address - Country:US
Practice Address - Phone:636-390-4422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-21
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0019691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical