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NPI 1861119919 · live from the CMS NPI Registry

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Social Worker, Clinical in Kailua, HI. National Provider Identifier 1861119919, active.

NPI record

NPI1861119919 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location1308 Kuuna St, Kailua, HI 96734
Practice phone912-334-1248
Mailing addressPo Box 457, Kailua, HI 96734
EnumeratedOctober 19, 2022
Last updatedOctober 19, 2022
Authorized officialNathaniel Smith, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.