Provider Demographics
NPI:1093495962
Name:PAIVA, CHENOA LAINE HOKULANI (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:CHENOA
Middle Name:LAINE HOKULANI
Last Name:PAIVA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 554
Mailing Address - Street 2:
Mailing Address - City:PEPEEKEO
Mailing Address - State:HI
Mailing Address - Zip Code:96783-0554
Mailing Address - Country:US
Mailing Address - Phone:808-895-2673
Mailing Address - Fax:
Practice Address - Street 1:1440 KAPIOLANI BLVD STE 1200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3608
Practice Address - Country:US
Practice Address - Phone:808-640-6252
Practice Address - Fax:808-207-0140
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-24
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI50511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical