Provider Demographics
NPI:1043386899
Name:SAXE, HANNAH B (LICSW)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:B
Last Name:SAXE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WAVERLEY OAKS RD
Mailing Address - Street 2:#303
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-6272
Mailing Address - Country:US
Mailing Address - Phone:781-647-9444
Mailing Address - Fax:508-655-9922
Practice Address - Street 1:3 THORNTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1519
Practice Address - Country:US
Practice Address - Phone:781-647-9444
Practice Address - Fax:508-655-9922
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1100181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical