Provider Demographics
NPI:1730745688
Name:WILLIAMS, SAVANNAH (LISW)
Entity type:Individual
Prefix:
First Name:SAVANNAH
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25101 CHAGRIN BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5694
Mailing Address - Country:US
Mailing Address - Phone:440-650-4417
Mailing Address - Fax:
Practice Address - Street 1:12041 RAVENNA RD
Practice Address - Street 2:
Practice Address - City:CHARDON
Practice Address - State:OH
Practice Address - Zip Code:44024-7008
Practice Address - Country:US
Practice Address - Phone:440-286-7154
Practice Address - Fax:440-286-1037
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-16
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH23089101041C0700X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker