Provider Demographics
NPI:1457058901
Name:LEWIN, STEPHANIE R B (LCSW)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:R B
Last Name:LEWIN
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 1:1128 ALA NAPUNANI ST APT 1509
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96818-1660
Mailing Address - Country:US
Mailing Address - Phone:808-777-9488
Mailing Address - Fax:
Practice Address - Street 1:1128 ALA NAPUNANI ST APT 1509
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96818-1660
Practice Address - Country:US
Practice Address - Phone:808-777-9488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical