Provider Demographics
NPI:1992203541
Name:ARNOLD, JOSHUA WAYNE (LCSW, LCAS)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:WAYNE
Last Name:ARNOLD
Suffix:
Gender:M
Credentials:LCSW, LCAS
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 60
Mailing Address - Street 2:
Mailing Address - City:HAWAII NATIONAL PARK
Mailing Address - State:HI
Mailing Address - Zip Code:96718-0060
Mailing Address - Country:US
Mailing Address - Phone:910-514-8521
Mailing Address - Fax:
Practice Address - Street 1:1285 WAIANUENUE AVE STE 211
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-1209
Practice Address - Country:US
Practice Address - Phone:808-935-3781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-29
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-21415101YA0400X
NCC0108581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)