Provider Demographics
NPI:1578722351
Name:ANNE SAVONA LCSW PA
Entity Type:Organization
Organization Name:ANNE SAVONA LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:SAVONA
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-284-9113
Mailing Address - Street 1:PO BOX 710
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNKPORT
Mailing Address - State:ME
Mailing Address - Zip Code:04046
Mailing Address - Country:US
Mailing Address - Phone:207-284-9113
Mailing Address - Fax:207-286-3351
Practice Address - Street 1:9 BEACH STREET
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-2801
Practice Address - Country:US
Practice Address - Phone:207-284-9113
Practice Address - Fax:207-286-3351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MM5287Medicare UPIN