| Traci I Browne, L.c.s.w. | |
|
569 Ulumanu Dr Kailua HI 96734-4331 | |
| (808) 306-1056 | |
| Not Available |
| Full Name | Traci I Browne, L.c.s.w. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 569 Ulumanu Dr, Kailua, Hawaii |
| Authorized Official Name and Position | Traci Browne (OWNER) |
| Authorized Official Contact | 8083061056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Traci I Browne, L.c.s.w. 569 Ulumanu Dr Kailua HI 96734-4331 Ph: () - | Traci I Browne, L.c.s.w. 569 Ulumanu Dr Kailua HI 96734-4331 Ph: (808) 306-1056 |
| NPI Number | 1821789744 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 11/17/2023 |
| Certification Date | 11/17/2023 |
| Medicare PECOS PAC ID | 8729423967 |
|---|---|
| Medicare Enrollment ID | O20240228001007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821789744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Traci J Browne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487212858 PECOS PAC ID: 9638514870 Enrollment ID: I20240228001092 |
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