Provider Demographics
NPI:1578282026
Name:NANCY K L DELAMARTER
Entity Type:Organization
Organization Name:NANCY K L DELAMARTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:K L
Authorized Official - Last Name:DELAMARTER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-351-5311
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:808-441-1965
Practice Address - Street 1:68-180 AU ST APT B
Practice Address - Street 2:
Practice Address - City:WAIALUA
Practice Address - State:HI
Practice Address - Zip Code:96791-9471
Practice Address - Country:US
Practice Address - Phone:808-351-5311
Practice Address - Fax:808-441-1965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty