Provider Demographics
NPI:1316144025
Name:FREITAS, CAROL GEER (LCSW)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:GEER
Last Name:FREITAS
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 1:2200 MAIN ST
Mailing Address - Street 2:SUITE 518
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1654
Mailing Address - Country:US
Mailing Address - Phone:808-281-4310
Mailing Address - Fax:808-874-5642
Practice Address - Street 1:2200 MAIN ST
Practice Address - Street 2:SUITE 518
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1654
Practice Address - Country:US
Practice Address - Phone:808-281-4310
Practice Address - Fax:808-874-5642
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-3321101YA0400X, 101YM0800X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI530338-01Medicaid
HI530338-01Medicaid
HIH52652Medicare PIN