Individual provider Active NPI

Savannah C. Kirchner, LCSW

  • Clinical Social Worker
  • Lewiston, ME
National Provider Identifier
1467888024
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC15458 Issued in ME
Practice address
100 Campus Ave Ste a&B
Lewiston, ME 04240-6040
Phone
(207) 755-3434
Fax
(207) 755-3474
NPI assigned
Sep 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC15458 ME Primary

Addresses

Primary practice location

100 Campus Ave Ste a&B
Lewiston, ME 04240-6040

Mailing address

C/O St Marys Health System - Provider Enrollment
PO Box 7291
Lewiston, ME 04243-7291
Phone (207) 777-8950

Other names 1

  • Savannah C Cookson Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address savannah.kirchner@spurwink.org Direct
Direct Messaging Address skirchner645143@direct-prd.goodhelpconnections.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC15458MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Clinical Services, Inc. Current Accepting new patients
Spurwink Services Incorporated PastSince Dec 8, 2019 Accepting new patients

Locations

106 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3383

100 Campus Ave
#A
Lewiston, ME 04240
Phone (207) 755-3434

100 Campus Ave
Ste Ab
Lewiston, ME 04240
Phone (207) 755-3434

100 Campus Ave
Ste 208
Lewiston, ME 04240
Phone (207) 777-8974

Organizations & group practices 2

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": "1379289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1467888024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT",
            "address_2": "PO BOX 7291",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042437291",
            "telephone_number": "207-777-8950",
            "fax_number": "207-777-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CAMPUS AVE STE A&B",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042406040",
            "telephone_number": "207-755-3434",
            "fax_number": "207-755-3474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "SAVANNAH",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-16",
        "last_updated": "2021-01-04",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC15458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "savannah.kirchner@spurwink.org",
            "affiliation": "N",
            "endpointDescription": "Work E-mail Address - Use of VPN to access",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "127 Cony St",
            "city": "Augusta",
            "state": "ME",
            "country_code": "US",
            "postal_code": "043305304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "skirchner645143@direct-prd.goodhelpconnections.org",
            "affiliation": "N",
            "address_1": "100 Campus Ave Ste A&b",
            "city": "Lewiston",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042406040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAVANNAH",
            "last_name": "COOKSON",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

Verify at the official NPI Registry.