Provider Demographics
NPI:1710237730
Name:TOMOYASU-OUMI, ADELE R (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:ADELE
Middle Name:R
Last Name:TOMOYASU-OUMI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ADELE
Other - Middle Name:R
Other - Last Name:TOMOYASU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:47-384 KEOHAPA PL
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-4846
Mailing Address - Country:US
Mailing Address - Phone:808-216-9646
Mailing Address - Fax:
Practice Address - Street 1:1441 KAPIOLANI BLVD STE 1600
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4407
Practice Address - Country:US
Practice Address - Phone:808-432-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI37221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical