Provider Demographics
NPI:1972876159
Name:SCHADEGG, SAVANNAH REI (PLSW)
Entity type:Individual
Prefix:MRS
First Name:SAVANNAH
Middle Name:REI
Last Name:SCHADEGG
Suffix:
Gender:F
Credentials:PLSW
Other - Prefix:MS
Other - First Name:SAVANNAH
Other - Middle Name:
Other - Last Name:SUTTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:701 ANTLER DR
Mailing Address - Street 2:
Mailing Address - City:CASPER
Mailing Address - State:WY
Mailing Address - Zip Code:82601-1726
Mailing Address - Country:US
Mailing Address - Phone:307-374-6463
Mailing Address - Fax:
Practice Address - Street 1:701 ANTLER DR
Practice Address - Street 2:
Practice Address - City:CASPER
Practice Address - State:WY
Practice Address - Zip Code:82601-1726
Practice Address - Country:US
Practice Address - Phone:307-374-6463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2025-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLPSW-12571041C0700X
WY1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty