Active NPI
Savannah Davis, LCSW, LICSW
- Clinical Social Worker
- South Portland, ME
National Provider Identifier
1730677691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LC18539
- Practice address
- 63 Ocean St Ste B
South Portland, ME 04106-2828 - Phone
- (207) 631-9209
- NPI assigned
- Apr 26, 2018
- Last updated
- Jan 9, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC18539 | ME | Primary |
Addresses
Primary practice location
63 Ocean St Ste B
South Portland, ME 04106-2828
Mailing address
63 Ocean St Ste B
South Portland, ME 04106-2828
Phone (207) 631-0920
Other practice location 1
200 High St Ste 3D
Portland, ME 04101-7805
Phone (207) 631-9209
Other practice location 2
142 High St Ste 325
Portland, ME 04101-2840
Phone (207) 631-9209
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spurwink Services Incorporated | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Portland, ME
- NPI 1316945090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1730677691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 OCEAN ST STE B",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062828",
"telephone_number": "207-631-0920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 OCEAN ST STE B",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041062828",
"telephone_number": "207-631-9209"
}
],
"practiceLocations": [
{
"address_1": "200 High St Ste 3D",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041017805",
"country_code": "US",
"telephone_number": "207-631-9209",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "142 High St Ste 325",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "ME",
"postal_code": "041012840",
"country_code": "US",
"telephone_number": "207-631-9209",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "SAVANNAH",
"credential": "LCSW, LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-26",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ME",
"license": "LC18539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.