Healthcare Provider Details

I. General information

NPI: 1548026073
Provider Name (Legal Business Name): BRANDIE SACHIKO ALBORO NACNAC LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

92-982 KANEHOA LOOP
KAPOLEI HI
96707-1319
US

IV. Provider business mailing address

92-982 KANEHOA LOOP
KAPOLEI HI
96707-1319
US

V. Phone/Fax

Practice location:
  • Phone: 347-901-9050
  • Fax:
Mailing address:
  • Phone: 808-559-0281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW5143
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberLSW-1787
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: