Katina B Saxton, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

084165 Issued in NY

Practice address

939 Route 146 Ste 610
Clifton Park, NY 12065-3662

Phone

(518) 201-2789

Fax

(518) 201-2750

NPI assigned

Jun 1, 2011

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Katina B Little Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Mar 18, 2021 through Mar 18, 2027

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1558655019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 610",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653662",
            "telephone_number": "518-201-2789",
            "fax_number": "518-201-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ROUTE 146 STE 610",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653662",
            "telephone_number": "518-201-2789",
            "fax_number": "518-201-2750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXTON",
        "first_name": "KATINA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079939-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "084165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATINA",
            "last_name": "LITTLE",
            "middle_name": "B",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Social Worker in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.