Provider Demographics
NPI:1669605291
Name:NAKASUE, CLAIRE (LCSW, SAP)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:
Last Name:NAKASUE
Suffix:
Gender:F
Credentials:LCSW, SAP
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 10068
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96816-0068
Mailing Address - Country:US
Mailing Address - Phone:808-543-8445
Mailing Address - Fax:808-735-4194
Practice Address - Street 1:200 N VINEYARD BLVD BLDG B
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3938
Practice Address - Country:US
Practice Address - Phone:808-543-8445
Practice Address - Fax:808-735-4194
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-31
Last Update Date:2011-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW 35731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical