Provider Demographics
NPI:1780989400
Name:LLOYD, MELINDA ELENA (LCSW)
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:ELENA
Last Name:LLOYD
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MELINDA
Other - Middle Name:ELENA
Other - Last Name:LAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:98-707 IHO PLACE BLDG. 2, APT. 204
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701
Mailing Address - Country:US
Mailing Address - Phone:808-497-7660
Mailing Address - Fax:808-426-1322
Practice Address - Street 1:98-707 IHO PLACE BLDG. 2, APT. 204
Practice Address - Street 2:
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-497-7660
Practice Address - Fax:808-426-1322
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI34621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical