Provider Demographics
NPI:1801962451
Name:KEANEY, KARLEEN N (LCSW LLC)
Entity type:Individual
Prefix:
First Name:KARLEEN
Middle Name:N
Last Name:KEANEY
Suffix:
Gender:F
Credentials:LCSW LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2104 DOLE STREET
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822
Mailing Address - Country:US
Mailing Address - Phone:808-484-2244
Mailing Address - Fax:808-942-2424
Practice Address - Street 1:98211 PALI MOMI
Practice Address - Street 2:SUITE 810
Practice Address - City:ALEA
Practice Address - State:HI
Practice Address - Zip Code:96701
Practice Address - Country:US
Practice Address - Phone:808-484-2244
Practice Address - Fax:808-942-2424
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW30211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical