Provider Demographics
NPI:1720248883
Name:BATALON, NESTOR M (LCSW)
Entity type:Individual
Prefix:
First Name:NESTOR
Middle Name:M
Last Name:BATALON
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1009 HOOPILI ST # 69
Mailing Address - Street 2:
Mailing Address - City:EWA BEACH
Mailing Address - State:HI
Mailing Address - Zip Code:96706-4633
Mailing Address - Country:US
Mailing Address - Phone:808-781-7634
Mailing Address - Fax:808-840-0610
Practice Address - Street 1:91-1009 HOOPILI ST # 69
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-4633
Practice Address - Country:US
Practice Address - Phone:808-781-7634
Practice Address - Fax:808-840-0610
Is Sole Proprietor?:No
Enumeration Date:2008-06-12
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HILCSW 31861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical