Provider Demographics
NPI:1215716287
Name:SCIBETTA, LEANA (LCSW)
Entity type:Individual
Prefix:
First Name:LEANA
Middle Name:
Last Name:SCIBETTA
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 1:75-5919 ALII DR APT X1
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-1395
Mailing Address - Country:US
Mailing Address - Phone:808-825-9110
Mailing Address - Fax:
Practice Address - Street 1:75-5919 ALII DR APT X1
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1395
Practice Address - Country:US
Practice Address - Phone:808-825-9110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI0799771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical