Provider Demographics
NPI:1649160425
Name:STOCKER, AIRY MAE LAURENTE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:AIRY MAE
Middle Name:LAURENTE
Last Name:STOCKER
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 1:91-162 MAKALEA ST # 20
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-5903
Mailing Address - Country:US
Mailing Address - Phone:808-754-9634
Mailing Address - Fax:
Practice Address - Street 1:91-162 MAKALEA ST # 20
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-5903
Practice Address - Country:US
Practice Address - Phone:808-754-9634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-03
Last Update Date:2025-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW-53561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical