Healthcare Provider Details

I. General information

NPI: 1710692983
Provider Name (Legal Business Name): ZAINISHA OGWARO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2023
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-2301 OLD FT WEAVER RD
EWA BEACH HI
96706-3602
US

IV. Provider business mailing address

PO BOX 22933
HONOLULU HI
96823-2933
US

V. Phone/Fax

Practice location:
  • Phone: 808-677-2525
  • Fax:
Mailing address:
  • Phone: 808-559-2155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-5352
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: