Provider Demographics
NPI:1891818290
Name:HONEYCUTT, MARNIE S (QCSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MARNIE
Middle Name:S
Last Name:HONEYCUTT
Suffix:
Gender:F
Credentials:QCSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 HAILI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2515
Mailing Address - Country:US
Mailing Address - Phone:808-989-4135
Mailing Address - Fax:808-935-3618
Practice Address - Street 1:425 HAILI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2515
Practice Address - Country:US
Practice Address - Phone:808-989-4135
Practice Address - Fax:808-935-3618
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW33911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical