Provider Demographics
NPI:1710215934
Name:SCHWING, MARY CLEMENTINA (MFT, CSAC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:CLEMENTINA
Last Name:SCHWING
Suffix:
Gender:F
Credentials:MFT, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2456 LAMAKU PL
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-3417
Mailing Address - Country:US
Mailing Address - Phone:808-375-6665
Mailing Address - Fax:
Practice Address - Street 1:2456 LAMAKU PL
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-3417
Practice Address - Country:US
Practice Address - Phone:808-375-6665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI120004101YA0400X
HI132106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)