MEDICARE: VISHAKA DEVI JOKIEL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	3702	HI

General Provider Information

NPI Number	:	1467877548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VISHAKA DEVI JOKIEL LCSW

Provider Business Mailing Address
First Line	:	6600 KALANIANAOLE HIGHWAY
Second Line	:	STE 225
City	:	HONOLULU
State	:	HI
Zip	:	96825
Country	:	US
Telephone Number	:	808-352-1933
Fax Number	:

Provider Business Practice Location Address
First Line	:	6600 KALANIANAOLE HWY
Second Line	:	STE 225
City	:	HONOLULU
State	:	HI
Zip	:	96825-1273
Country	:	US
Telephone Number	:	808-352-1933
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2014
Last Update Date	:	10/20/2016

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