NPI 1962973628 · live from the CMS NPI Registry
Sarah Michelle Bonham, LCSW
Social Worker, Clinical in Honolulu, HI. National Provider Identifier 1962973628, active.
NPI record
| NPI | 1962973628 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 1888 Kalakaua Ave, Honolulu, HI 96815 |
| Practice phone | 808-494-6066 |
| Mailing address | 42-470 Kalanianaole Hwy, Kailua, HI 96734 |
| Enumerated | December 6, 2018 |
| Last updated | July 18, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Social Worker, Clinical primary | 1041C0700X | 4643 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.