Provider Demographics
NPI:1194092577
Name:HIGASHI, JOANNE N (LCSW)
Entity type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:N
Last Name:HIGASHI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 61555
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96839-1555
Mailing Address - Country:US
Mailing Address - Phone:808-342-2944
Mailing Address - Fax:808-261-0096
Practice Address - Street 1:315 ULUNIU STREET, #207
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734
Practice Address - Country:US
Practice Address - Phone:808-261-0066
Practice Address - Fax:808-261-0096
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-29
Last Update Date:2015-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI34901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical