Provider Demographics
NPI:1912234154
Name:SILVA, PAMELA K (LCSW, QCSW)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:K
Last Name:SILVA
Suffix:
Gender:F
Credentials:LCSW, QCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1221 KA UKA BLVD
Mailing Address - Street 2:SUITE 108-180
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-6202
Mailing Address - Country:US
Mailing Address - Phone:808-292-0885
Mailing Address - Fax:
Practice Address - Street 1:94-1036 WAIPIO UKA ST
Practice Address - Street 2:SUITE 109
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-4050
Practice Address - Country:US
Practice Address - Phone:808-292-0885
Practice Address - Fax:808-671-8855
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2014-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI35541041C0700X
HI15251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical