Provider Demographics
NPI:1710337589
Name:MACPHERSON, CHRISTY K (LCSW)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:K
Last Name:MACPHERSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2067 KILAKILA DR APT A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1271
Mailing Address - Country:US
Mailing Address - Phone:808-554-3833
Mailing Address - Fax:808-664-9153
Practice Address - Street 1:2067 KILAKILA DR APT A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1271
Practice Address - Country:US
Practice Address - Phone:808-554-3833
Practice Address - Fax:808-664-9153
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-38111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical