Provider Demographics
NPI:1164206231
Name:SAXMAN, KELLEY C (LMSW)
Entity Type:Individual
Prefix:MRS
First Name:KELLEY
Middle Name:C
Last Name:SAXMAN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 PALACE PL
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-2260
Mailing Address - Country:US
Mailing Address - Phone:734-934-8080
Mailing Address - Fax:
Practice Address - Street 1:2820 S. ALMA SCHOOL RD
Practice Address - Street 2:STE 1, PMB 641
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286
Practice Address - Country:US
Practice Address - Phone:480-568-2543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical