Provider Demographics
NPI:1093386674
Name:SAXTON, IRENE SARAH (LCSW)
Entity type:Individual
Prefix:
First Name:IRENE
Middle Name:SARAH
Last Name:SAXTON
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 1:1060 E END RD
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:AK
Mailing Address - Zip Code:99603-7205
Mailing Address - Country:US
Mailing Address - Phone:907-235-2102
Mailing Address - Fax:907-759-7211
Practice Address - Street 1:1060 E END RD
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-7205
Practice Address - Country:US
Practice Address - Phone:907-235-2102
Practice Address - Fax:907-759-7211
Is Sole Proprietor?:No
Enumeration Date:2021-07-06
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK172445104100000X
AK2331551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker