Mr Marvin Otis St Clair Iii, LCSW is a
Counselor - Mental Health based in Volcano, Hawaii. Mr Marvin Otis St Clair Iii is licensed to practice in Hawaii (license number 3187) and his current practice location is
113850 6th, Volcano, Hawaii. He can be reached at his office (for appointments etc.) via phone at
(808) 967-8580.
NPI number for Mr Marvin Otis St Clair Iii is 1942343439 and his current mailing address is Po Box 575, Volcano, Hawaii. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942343439.
Healthcare Provider's Profile
| Full Name | Mr Marvin Otis St Clair Iii |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
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| Location | 113850 6th, Volcano, Hawaii |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942343439
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 09/24/2018
Medical Identifiers
Medical identifiers for Mr Marvin Otis St Clair Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942343439 | NPI | - | NPPES |
| 536336 | Medicaid | HI | |
| 0000252791 | Other | HI | HMSA PROVIDER NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 3187 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Marvin Otis St Clair Iii is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Marvin Otis St Clair Iii, LCSW
Po Box 575,
Volcano, HI 96785-0575
Ph: (808) 961-5166 | Mr Marvin Otis St Clair Iii, LCSW
113850 6th,
Volcano, HI 96785
Ph: (808) 967-8580 |
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