Provider Demographics
NPI:1457521049
Name:RICOKAAINOA, DIANN LYNN (LCSW)
Entity Type:Individual
Prefix:
First Name:DIANN
Middle Name:LYNN
Last Name:RICOKAAINOA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DIANN
Other - Middle Name:LYNN
Other - Last Name:KAAINOA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1118 E GREEN ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-2500
Mailing Address - Country:US
Mailing Address - Phone:626-665-6274
Mailing Address - Fax:
Practice Address - Street 1:1118 E GREEN ST
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2500
Practice Address - Country:US
Practice Address - Phone:213-471-0406
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA238241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical