| Catherine Smith Lcsw, Llc | |
|
75-159 Lunapule Rd Ste 8 Kailua Kona HI 96740-2100 | |
| (808) 896-4002 | |
| (888) 883-7420 |
| Full Name | Catherine Smith Lcsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 75-159 Lunapule Rd Ste 8, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Catherine Smith (MANAGING MEMBER) |
| Authorized Official Contact | 8088964002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Smith Lcsw, Llc Po Box 607 Holualoa HI 96725-0607 Ph: (808) 896-4002 | Catherine Smith Lcsw, Llc 75-159 Lunapule Rd Ste 8 Kailua Kona HI 96740-2100 Ph: (808) 896-4002 |
| NPI Number | 1023597242 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 08/01/2020 |
| Certification Date | 08/01/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023597242 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3723 (Hawaii) | Primary |
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