Individual provider Active NPI

Savanna Dutil, LCSW

  • Social Worker
  • Waterville, ME
National Provider Identifier
1467178772
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LC24116 Issued in ME
Practice address
93 Silver St
Waterville, ME 04901-5923
Phone
(207) 877-9435
Fax
(207) 873-3795
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC24116 ME Primary

Addresses

Primary practice location

93 Silver St
Waterville, ME 04901-5923

Mailing address

93 Silver St
Waterville, ME 04901-5923
Phone (207) 877-9435

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jgoodie@mainechildrenshome.org Health Information Exchange (HIE) The Maine Children's Home for Little Wanderers

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC24116MEMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Maine Children'S Home for Little Wanderers CurrentSince Oct 23, 2022 Accepting new patients

Locations

93 Silver St
Waterville, ME 04901
Phone (207) 873-4253

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1467178772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015923",
            "telephone_number": "207-877-9435",
            "fax_number": "207-873-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 SILVER ST",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049015923",
            "telephone_number": "207-877-9435",
            "fax_number": "207-873-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTIL",
        "first_name": "SAVANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ME",
            "license": "LC24116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgoodie@mainechildrenshome.org",
            "affiliation": "Y",
            "endpointDescription": "Secure email",
            "affiliationName": "The Maine Children's Home for Little Wanderers",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "93 Silver St",
            "city": "Waterville",
            "state": "ME",
            "country_code": "US",
            "postal_code": "049015923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterville, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.