Provider Demographics
NPI:1396918223
Name:SCHOLNICK, ERICA NICOLE (LCSW)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:NICOLE
Last Name:SCHOLNICK
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 1:970 N KALAHEO AVE
Mailing Address - Street 2:A203
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-1866
Mailing Address - Country:US
Mailing Address - Phone:808-529-1783
Mailing Address - Fax:808-261-1120
Practice Address - Street 1:970 N KALAHEO AVE
Practice Address - Street 2:A203
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-1866
Practice Address - Country:US
Practice Address - Phone:808-529-1783
Practice Address - Fax:808-261-1120
Is Sole Proprietor?:No
Enumeration Date:2008-04-11
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0755101101Y00000X
HI37461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor