Healthcare Provider Details

I. General information

NPI: 1598787046
Provider Name (Legal Business Name): GEORGE W SAXTON LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 03/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 N JACKSON ST
MILWAUKEE WI
53202-2602
US

IV. Provider business mailing address

1300 N JACKSON ST
MILWAUKEE WI
53202-2602
US

V. Phone/Fax

Practice location:
  • Phone: 414-390-5800
  • Fax: 414-390-5808
Mailing address:
  • Phone: 414-390-5800
  • Fax: 414-390-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6722-123
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: