Healthcare Provider Details

I. General information

NPI: 1073428215
Provider Name (Legal Business Name): DENISE UILANI YAMANAKA MSW, LCSW, ASW-G
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-1121 KEAUNUI DR STE 108 (#373)
EWA BEACH HI
96706-6365
US

IV. Provider business mailing address

91-1121 KEAUNUI DR STE 108 (#373)
EWA BEACH HI
96706-6365
US

V. Phone/Fax

Practice location:
  • Phone: 808-224-4087
  • Fax:
Mailing address:
  • Phone: 808-224-4087
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-5452
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: