Provider Demographics
NPI:1225178585
Name:MALATE, EMILY K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:K
Last Name:MALATE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:K
Other - Last Name:BARBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1222 KAUMANA DR
Mailing Address - Street 2:HOUSE #C
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-6719
Mailing Address - Country:US
Mailing Address - Phone:808-895-0216
Mailing Address - Fax:
Practice Address - Street 1:1222 KAUMANA DR
Practice Address - Street 2:HOUSE #C
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-6719
Practice Address - Country:US
Practice Address - Phone:808-895-0216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI33131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI585151Medicaid