Provider Demographics
NPI:1649504994
Name:SAXE, JANET (LMSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:SAXE
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 1:2010 AGUA FRIA ST
Mailing Address - Street 2:UNIT C
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-7402
Mailing Address - Country:US
Mailing Address - Phone:917-292-7748
Mailing Address - Fax:
Practice Address - Street 1:2010 AGUA FRIA ST
Practice Address - Street 2:UNIT C
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-7402
Practice Address - Country:US
Practice Address - Phone:917-292-7748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-18
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NME7436Medicaid