Provider Demographics
NPI:1326626060
Name:PIERS, CARTER G (LCSW)
Entity Type:Individual
Prefix:
First Name:CARTER
Middle Name:G
Last Name:PIERS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 SEAVIEW AVE APT A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-2498
Mailing Address - Country:US
Mailing Address - Phone:616-283-8325
Mailing Address - Fax:
Practice Address - Street 1:2217 SEAVIEW AVE APT A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-2498
Practice Address - Country:US
Practice Address - Phone:616-283-8325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW46221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical