Provider Demographics
NPI:1003940651
Name:O'BRIEN, DEBRA ANN (LCSW, CAS)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:LCSW, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4224 WAIALAE AVE
Mailing Address - Street 2:# 5-513
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-5330
Mailing Address - Country:US
Mailing Address - Phone:808-497-7244
Mailing Address - Fax:
Practice Address - Street 1:4224 WAIALAE AVE
Practice Address - Street 2:# 5-513
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-5330
Practice Address - Country:US
Practice Address - Phone:808-497-7244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI33401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI23232-2OtherHMSA