MEDICARE: SAVITT PSYCHOTHERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1194670497
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAVITT PSYCHOTHERAPY LLC

Provider Business Mailing Address
First Line	:	255 BLUE HERON DR
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-8795
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	255 BLUE HERON DR
Second Line	:
City	:	GLENWOOD SPRINGS
State	:	CO
Zip	:	81601-8795
Country	:	US
Telephone Number	:	949-533-9830
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	MRS. GABRIELLE SAVITT
Credential	:	LCSW
Telephone Number	:	949-533-9830

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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