Healthcare Provider Details

I. General information

NPI: 1821605601
Provider Name (Legal Business Name): APRIL WUBBENS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 09/25/2020
Certification Date: 09/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 MILILANI ST STE 400
HONOLULU HI
96813-2934
US

IV. Provider business mailing address

820 MILILANI ST STE 400
HONOLULU HI
96813-2934
US

V. Phone/Fax

Practice location:
  • Phone: 808-550-2552
  • Fax: 808-550-2551
Mailing address:
  • Phone: 808-550-2552
  • Fax: 808-550-2551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW-4580
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: