Eun K Ahn, LCSW
Individual provider Active NPI Clinical Social Worker · Kapolei, HI
NPI 1861090664 · NPPES record last updated Oct 14, 2020
Key facts
- NPI
- 1861090664
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 075414 (NY)
- Practice address
- 590 Farrington Hwy # 524-256
Kapolei, HI 96707-2009 - Phone
- (917) 640-6917
- NPI assigned
- Oct 14, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075414 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 075414 | NY | Yes |
Addresses
Primary practice location
590 Farrington Hwy # 524-256
Kapolei, HI 96707-2009
Mailing address
590 Farrington Hwy # 524-256
Kapolei, HI 96707-2009
Phone (917) 640-6917
Other providers in Kapolei, HI
- Leila M. Agullana
- Cristina Agustin
- Marinel Kathrina Agustin
- Kamalei Ah New
- Valerie Ah Quin
- Sherrie A Akana
- Janesuda Akarapreecha
- Joel Akimoto
- Kealohilani Akiyama
- Lance Aksamit
All providers in Kapolei, HI · Clinical Social Worker in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.