Provider Demographics
NPI:1255493581
Name:BERKEY, TRENDA LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:TRENDA
Middle Name:LEE
Last Name:BERKEY
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 1:95-1195 LEOLANI ST
Mailing Address - Street 2:
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-3608
Mailing Address - Country:US
Mailing Address - Phone:808-382-3388
Mailing Address - Fax:
Practice Address - Street 1:95-1195 LEOLANI ST
Practice Address - Street 2:
Practice Address - City:MILILANI
Practice Address - State:HI
Practice Address - Zip Code:96789-3608
Practice Address - Country:US
Practice Address - Phone:808-382-3388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI32581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000258764OtherHMSA