Healthcare Provider Details

I. General information

NPI: 1508600701
Provider Name (Legal Business Name): KRISTINA ANGELA SILVA-PEDRERO MSW, LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTINA DANLEY

II. Dates (important events)

Enumeration Date: 06/21/2024
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3481 LOWER HONOAPIILANI RD APT A203
LAHAINA HI
96761-8419
US

IV. Provider business mailing address

PO BOX 178
WAILUKU HI
96793-0178
US

V. Phone/Fax

Practice location:
  • Phone: 808-463-6016
  • Fax:
Mailing address:
  • Phone: 808-463-6016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW5555
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: