Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 104100000X | Social Worker | LSW-378 | HI |
Y | 1041C0700X | Clinical Social Worker | LCSW-3107 | HI |
NPI | 1003825282 |
---|---|
Provider Name | Ms. Stephanie M Bell |
First Address | Mililani, HI 96789-1014 |
Second Address | Waianae, HI 96792-3128 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S35540 | (02) |