Healthcare Provider Details

I. General information

NPI: 1750322814
Provider Name (Legal Business Name): MARGARET S HILL LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: MARGARET S GWYNN

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45-408 KAMEHAMEHA HWY
KANEOHE HI
96744-1722
US

IV. Provider business mailing address

820 MILILANI ST SUITE 702A
HONOLULU HI
96813-2924
US

V. Phone/Fax

Practice location:
  • Phone: 808-781-3007
  • Fax:
Mailing address:
  • Phone: 808-523-9363
  • Fax: 808-523-9418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 3069
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: