Healthcare Provider Details

I. General information

NPI: 1508044629
Provider Name (Legal Business Name): RENEE E. ROKERO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2008
Last Update Date: 07/03/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1188 BISHOP ST SUITE 2306
HONOLULU HI
96813-3301
US

IV. Provider business mailing address

PO BOX 392
KAILUA HI
96734-0392
US

V. Phone/Fax

Practice location:
  • Phone: 808-282-9045
  • Fax: 808-537-9474
Mailing address:
  • Phone: 808-282-9045
  • Fax: 808-537-9474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberLSW-393
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-3357
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: