Provider Demographics
NPI:1922126358
Name:PRESCOTT, CATHERINE (LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:PRESCOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:USHA
Other - Last Name:PRESCOTT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:333 AOLOA ST
Mailing Address - Street 2:328
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3042
Mailing Address - Country:US
Mailing Address - Phone:808-262-7463
Mailing Address - Fax:808-489-7815
Practice Address - Street 1:32 KAINEHE ST
Practice Address - Street 2:SUITE 204
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2641
Practice Address - Country:US
Practice Address - Phone:808-262-7463
Practice Address - Fax:808-489-7815
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-31321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical