Provider Demographics
NPI:1114759198
Name:HARKER, SAVANNAH JEAN (LSW)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:JEAN
Last Name:HARKER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:SAVANNAH
Other - Middle Name:JEAN
Other - Last Name:HOWERTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1041 W JEFFERSON ST APT 22
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-2789
Mailing Address - Country:US
Mailing Address - Phone:217-316-5406
Mailing Address - Fax:
Practice Address - Street 1:7230 ARBUCKLE CMNS STE 252
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1798
Practice Address - Country:US
Practice Address - Phone:217-316-5406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33011764A104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker