Provider Demographics
NPI:1851046916
Name:BALCH, SAVANNAH D (LCSW)
Entity type:Individual
Prefix:MS
First Name:SAVANNAH
Middle Name:D
Last Name:BALCH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:199 W DOMINICK ST STE 2
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:NY
Mailing Address - Zip Code:13440-5855
Mailing Address - Country:US
Mailing Address - Phone:315-272-2730
Mailing Address - Fax:315-337-0675
Practice Address - Street 1:628 MARY ST
Practice Address - Street 2:
Practice Address - City:UTICA
Practice Address - State:NY
Practice Address - Zip Code:13501-2419
Practice Address - Country:US
Practice Address - Phone:315-272-2700
Practice Address - Fax:315-732-2229
Is Sole Proprietor?:No
Enumeration Date:2022-02-17
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1013671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical