Healthcare Provider Details

I. General information

NPI: 1437769049
Provider Name (Legal Business Name): MADELYN ALEXANDRA SAUGET LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2020
Last Update Date: 06/13/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 PORT ROAD SUITE 16 MAILBOX
KENNEBUNK ME
04043
US

IV. Provider business mailing address

169 PORT ROAD SUITE 16 MAILBOX 9
KENNEBUNK ME
04043
US

V. Phone/Fax

Practice location:
  • Phone: 207-558-2308
  • Fax:
Mailing address:
  • Phone: 207-558-2308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC21632
License Number StateME

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: