Provider Demographics
NPI:1669462685
Name:CHOI, STEWART M (LCSW, CSAC)
Entity Type:Individual
Prefix:MR
First Name:STEWART
Middle Name:M
Last Name:CHOI
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Gender:M
Credentials:LCSW, CSAC
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Mailing Address - Street 1:1 JARRETT WHITE RD
Mailing Address - Street 2:TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
Mailing Address - City:TRIPLER AMC
Mailing Address - State:HI
Mailing Address - Zip Code:96859-5001
Mailing Address - Country:US
Mailing Address - Phone:808-433-8708
Mailing Address - Fax:808-433-8701
Practice Address - Street 1:1 JARRETT WHITE RD
Practice Address - Street 2:TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
Practice Address - City:TRIPLER AMC
Practice Address - State:HI
Practice Address - Zip Code:96859-5001
Practice Address - Country:US
Practice Address - Phone:808-433-8708
Practice Address - Fax:808-433-8701
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2013-04-18
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Provider Licenses
StateLicense IDTaxonomies
HI34721041C0700X
HI1247-05101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN