Provider Demographics
NPI:1679163463
Name:CAROLINE MOTLEY, LCSW, LLC
Entity Type:Organization
Organization Name:CAROLINE MOTLEY, LCSW, LLC
Other - Org Name:CAROLINE MOTLEY, LCSW
Other - Org Type:Doing Business As
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:CAMP
Authorized Official - Last Name:MOTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-333-6189
Mailing Address - Street 1:228 OHUA AVE # ATB
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3672
Mailing Address - Country:US
Mailing Address - Phone:808-333-6189
Mailing Address - Fax:
Practice Address - Street 1:228 OHUA AVE APT B
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-3672
Practice Address - Country:US
Practice Address - Phone:808-333-6189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty