Provider Demographics
NPI:1558655019
Name:SAXTON, KATINA B (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:KATINA
Middle Name:B
Last Name:SAXTON
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:KATINA
Other - Middle Name:B
Other - Last Name:LITTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:939 ROUTE 146 STE 610
Mailing Address - Street 2:
Mailing Address - City:CLIFTON PARK
Mailing Address - State:NY
Mailing Address - Zip Code:12065-3662
Mailing Address - Country:US
Mailing Address - Phone:518-201-2789
Mailing Address - Fax:518-201-2750
Practice Address - Street 1:939 ROUTE 146 STE 610
Practice Address - Street 2:
Practice Address - City:CLIFTON PARK
Practice Address - State:NY
Practice Address - Zip Code:12065-3662
Practice Address - Country:US
Practice Address - Phone:518-201-2789
Practice Address - Fax:518-201-2750
Is Sole Proprietor?:No
Enumeration Date:2011-06-01
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY079939-11041C0700X
NY0841651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical