Provider Demographics
NPI:1073557690
Name:SCHLEMMER, CONCHITA VILLAFUERTE (LCSW, DCSW)
Entity Type:Individual
Prefix:
First Name:CONCHITA
Middle Name:VILLAFUERTE
Last Name:SCHLEMMER
Suffix:
Gender:F
Credentials:LCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2276 POOLEKA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3011
Mailing Address - Country:US
Mailing Address - Phone:808-739-0908
Mailing Address - Fax:808-739-0906
Practice Address - Street 1:99-128 AIEA HEIGHTS DR. AIEA MEDICAL BLDG,
Practice Address - Street 2:SUITE 704
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-739-0908
Practice Address - Fax:808-739-0906
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW31291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical