Provider Demographics
NPI:1376572362
Name:SPRINGER, JAMES (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:SPRINGER
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 1:95-1143 MAKAIKAI ST
Mailing Address - Street 2:APT. 84
Mailing Address - City:MILILANI
Mailing Address - State:HI
Mailing Address - Zip Code:96789-5301
Mailing Address - Country:US
Mailing Address - Phone:808-277-3707
Mailing Address - Fax:808-626-2672
Practice Address - Street 1:98-211 PALI MOMI ST
Practice Address - Street 2:SUITE 606
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4301
Practice Address - Country:US
Practice Address - Phone:808-277-3707
Practice Address - Fax:808-626-2672
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-32301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000251074OtherHMSA
HI197361OtherUNIVERSITY HEALTH ALLIANC
HI56072301OtherALOHACARE
HI990298651-96706-G004OtherTRICARE
HI560723Medicaid
HI100255Medicare ID - Type Unspecified
HI197361OtherUNIVERSITY HEALTH ALLIANC