Provider Demographics
NPI:1598544587
Name:SPOCK, RUHIYYIH NAPUALANI (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RUHIYYIH
Middle Name:NAPUALANI
Last Name:SPOCK
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:PO BOX 880868
Mailing Address - Street 2:
Mailing Address - City:PUKALANI
Mailing Address - State:HI
Mailing Address - Zip Code:96788-0868
Mailing Address - Country:US
Mailing Address - Phone:808-280-0984
Mailing Address - Fax:
Practice Address - Street 1:115 KEALALOA AVE
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-9068
Practice Address - Country:US
Practice Address - Phone:808-280-0984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-5034-01041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical