Healthcare Provider Details

I. General information

NPI: 1093386674
Provider Name (Legal Business Name): IRENE SARAH SAXTON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2021
Last Update Date: 05/20/2025
Certification Date: 05/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1060 E END RD
HOMER AK
99603-7205
US

IV. Provider business mailing address

1060 E END RD
HOMER AK
99603-7205
US

V. Phone/Fax

Practice location:
  • Phone: 907-235-2102
  • Fax: 907-759-7211
Mailing address:
  • Phone: 907-235-2102
  • Fax: 907-759-7211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number172445
License Number StateAK
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number233155
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: