Provider Demographics
NPI:1063118594
Name:HIGGINS, SAVANNAH BRIE (LMSW)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:BRIE
Last Name:HIGGINS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 JILL LN
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30016-4978
Mailing Address - Country:US
Mailing Address - Phone:540-446-9643
Mailing Address - Fax:
Practice Address - Street 1:55 JILL LN
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:GA
Practice Address - Zip Code:30016-4978
Practice Address - Country:US
Practice Address - Phone:540-446-9643
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-06
Last Update Date:2023-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA010573104100000X
SC14899104100000X
MD29307104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker