NPI 1861090664 · live from the CMS NPI Registry
Eun K Ahn, LCSW
Social Worker, Clinical in Kapolei, HI. National Provider Identifier 1861090664, active.
NPI record
| NPI | 1861090664 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 590 Farrington Hwy # 524-256, Kapolei, HI 96707 |
| Practice phone | 917-640-6917 |
| Enumerated | October 14, 2020 |
| Last updated | October 14, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 075414 (NY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.