Provider Demographics
NPI:1851447742
Name:TOTTEN, JOANNE (LCSW, DCSW)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:
Last Name:TOTTEN
Suffix:
Gender:F
Credentials:LCSW, DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11143
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96721-6143
Mailing Address - Country:US
Mailing Address - Phone:808-934-9311
Mailing Address - Fax:
Practice Address - Street 1:90 KAMEHAMEHA AVE
Practice Address - Street 2:ROOM 5
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2832
Practice Address - Country:US
Practice Address - Phone:808-934-9311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW 31491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI0000230680OtherHSMA PROVIDER NUMBER