Provider Demographics
NPI:1487011102
Name:DELAMARTER, NANCY K L (LCSW)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:K L
Last Name:DELAMARTER
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 1:68-180 AU ST APT B
Mailing Address - Street 2:
Mailing Address - City:WAIALUA
Mailing Address - State:HI
Mailing Address - Zip Code:96791-9471
Mailing Address - Country:US
Mailing Address - Phone:808-351-5311
Mailing Address - Fax:808-200-5372
Practice Address - Street 1:66-216 FARRINGTON HIGHWAY
Practice Address - Street 2:SUITE 204
Practice Address - City:WAIALUA
Practice Address - State:HI
Practice Address - Zip Code:96791
Practice Address - Country:US
Practice Address - Phone:808-351-5311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-26
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI39751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical