Provider Demographics
NPI:1689617391
Name:HORIUCHI, MARCIA TSUE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:MARCIA
Middle Name:TSUE
Last Name:HORIUCHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2101 NUUANU AVENUE
Mailing Address - Street 2:#1004
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1767
Mailing Address - Country:US
Mailing Address - Phone:808-534-1269
Mailing Address - Fax:
Practice Address - Street 1:1585 KAPIOLANI BLVD.
Practice Address - Street 2:#936
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814
Practice Address - Country:US
Practice Address - Phone:808-566-8241
Practice Address - Fax:808-538-0474
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI32401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI09578-6OtherBLUE CROSS/BLUE SHIELD