Provider Demographics
NPI:1629317409
Name:AMANO-TABUYO, ELIN E (LCSW)
Entity Type:Individual
Prefix:
First Name:ELIN
Middle Name:E
Last Name:AMANO-TABUYO
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 1:1910 LUSITANA ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-1532
Mailing Address - Country:US
Mailing Address - Phone:808-341-8992
Mailing Address - Fax:
Practice Address - Street 1:55 MERCHANT ST FL 22
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4333
Practice Address - Country:US
Practice Address - Phone:808-535-7230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-13
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW 37421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical