Provider Demographics
NPI:1942419304
Name:WEEKS, COLE D (LCSW)
Entity Type:Individual
Prefix:MR
First Name:COLE
Middle Name:D
Last Name:WEEKS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 LEHUA ST
Mailing Address - Street 2:
Mailing Address - City:WAHIAWA
Mailing Address - State:HI
Mailing Address - Zip Code:96786-2021
Mailing Address - Country:US
Mailing Address - Phone:808-590-0808
Mailing Address - Fax:808-681-3224
Practice Address - Street 1:9300 DEWITT LOOP
Practice Address - Street 2:
Practice Address - City:FORT BELVOIR
Practice Address - State:VA
Practice Address - Zip Code:22060-5285
Practice Address - Country:US
Practice Address - Phone:808-590-0809
Practice Address - Fax:808-681-3224
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW- 33631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical