Provider Demographics
NPI:1639323884
Name:TERAMOTO, CINDY M K (LCSW)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:M K
Last Name:TERAMOTO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:M K
Other - Last Name:MELIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:92-808 AHIKOE ST
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-1171
Mailing Address - Country:US
Mailing Address - Phone:808-230-6173
Mailing Address - Fax:866-253-2469
Practice Address - Street 1:92-808 AHIKOE ST
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-1171
Practice Address - Country:US
Practice Address - Phone:808-230-6173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-13
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI30951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical