Provider Demographics
NPI:1942035027
Name:BARNETT, SAVANNAH (MSW)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:BARNETT
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3116 STUART AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23221-2450
Mailing Address - Country:US
Mailing Address - Phone:757-645-6526
Mailing Address - Fax:
Practice Address - Street 1:1518 WILLOW LAWN DR FL 3
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-3419
Practice Address - Country:US
Practice Address - Phone:804-370-1050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-06
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0906015555101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health