Provider Demographics
NPI:1245273788
Name:USAGAWA, SHARON KEIKO (LCSW, DCSW)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:KEIKO
Last Name:USAGAWA
Suffix:
Gender:F
Credentials:LCSW, DCSW
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:KEIKO
Other - Last Name:KIKUGAWA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:970 N KALAHEO AVE
Mailing Address - Street 2:SUITE A102
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1866
Mailing Address - Country:US
Mailing Address - Phone:808-254-6484
Mailing Address - Fax:808-254-6427
Practice Address - Street 1:970 N KALAHEO AVE
Practice Address - Street 2:SUITE A102
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1866
Practice Address - Country:US
Practice Address - Phone:808-254-6484
Practice Address - Fax:808-254-6427
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW 31441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI222303OtherHMA INC
HI0000207357OtherHMSA QUEST
HI207357OtherHMSA