Provider Demographics
NPI:1922384973
Name:TARUTANI, CHERI (LCSW)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:TARUTANI
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:PO BOX 235361
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96823-3506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1550 WILDER AVE
Practice Address - Street 2:A208
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-4678
Practice Address - Country:US
Practice Address - Phone:808-391-6078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW37031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical