Provider Demographics
NPI:1376524934
Name:SAXENBERG, FRANCES VALERIE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:VALERIE
Last Name:SAXENBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1056 RIDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-3230
Mailing Address - Country:US
Mailing Address - Phone:904-229-7955
Mailing Address - Fax:904-797-0633
Practice Address - Street 1:1056 RIDGEWOOD LN
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-3230
Practice Address - Country:US
Practice Address - Phone:904-229-7955
Practice Address - Fax:904-223-4052
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-10
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 59171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical