Organization Active NPI

Snow Moon Therapy Services LLC

  • Clinical Social Worker
  • Kennebunk, ME
National Provider Identifier
1689430415
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SNOW MOON THERAPY SERVICES LLC
Practice address
169 Port Road Suite 16
Mailbox
Kennebunk, ME 04043-1325
Phone
(207) 558-2308
NPI assigned
Feb 28, 2024
Last updated
Jun 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Authorized official

Name
Madelyn Alexandra Sauget, LCSWNPI 1437769049
Title
Owner
Phone
(618) 340-8141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

169 Port Road Suite 16
Mailbox
Kennebunk, ME 04043-1325

Mailing address

369 Main St Apt C
South Berwick, ME 03908-1325
Phone (618) 340-8141

National Provider Directory

National Provider Directory

Locations

169 Port Rd
Ste 16
Kennebunk, ME 04043
Phone (207) 558-2308

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749686400000",
    "number": "1689430415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 MAIN ST APT C",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081325",
            "telephone_number": "618-340-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 PORT ROAD SUITE 16",
            "address_2": "MAILBOX",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "040431325",
            "telephone_number": "207-558-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW MOON THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2025-06-12",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "SAUGET",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-340-8141",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennebunk, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.