NPI 1609006485 · live from the CMS NPI Registry
Coral Louise Barrilleaux, LCSW
Social Worker, Clinical in Hilo, HI. National Provider Identifier 1609006485, active.
NPI record
| NPI | 1609006485 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 120 Keawa Street, Suite 204a, Hilo, HI 96720 |
| Practice phone | 808-756-2129 |
| Mailing address | Po Box 6231, Hilo, HI 96720 |
| Enumerated | July 15, 2009 |
| Last updated | April 26, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 3576 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.