Provider Demographics
NPI:1235746470
Name:WERKOFF, NATALIA (LCSW)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:WERKOFF
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 1:677 ALA MOANA BLVD STE 226
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5416
Mailing Address - Country:US
Mailing Address - Phone:561-414-4003
Mailing Address - Fax:
Practice Address - Street 1:677 ALA MOANA BLVD STE 226
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5416
Practice Address - Country:US
Practice Address - Phone:561-414-4003
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI45601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical