MEDICARE: SARAH WARFIELD LMHC, CSAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst
2	101Y00000X	Counselor	MHC-638	HI

General Provider Information

NPI Number	:	1174957872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH WARFIELD LMHC, CSAC

Provider Business Mailing Address
First Line	:	94-109 WALI PL # F103
Second Line	:
City	:	WAIPAHU
State	:	HI
Zip	:	96797-5110
Country	:	US
Telephone Number	:	808-341-6207
Fax Number	:

Provider Business Practice Location Address
First Line	:	1833 KALAKAUA AVE STE 908
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96815-1528
Country	:	US
Telephone Number	:	808-341-6207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2013
Last Update Date	:	03/23/2022

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