Provider Demographics
NPI:1114325974
Name:SAXIONIS, MARIA (SW, LADC-1,CCBT)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:
Last Name:SAXIONIS
Suffix:
Gender:F
Credentials:SW, LADC-1,CCBT
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:VASTIS
Other - Last Name:SAXIONIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:SWLADC-1, CCBT
Mailing Address - Street 1:400 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4729
Mailing Address - Country:US
Mailing Address - Phone:781-843-3853
Mailing Address - Fax:
Practice Address - Street 1:38 POND ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3807
Practice Address - Country:US
Practice Address - Phone:508-528-6037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-10
Last Update Date:2014-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA360-I101YA0400X
MA1027044104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)