Provider Demographics
NPI:1821574252
Name:DEL ROSARIO, KRYSTAL NOELANI (LCSW)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:NOELANI
Last Name:DEL ROSARIO
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:HC 1 BOX 5201
Mailing Address - Street 2:
Mailing Address - City:KEAAU
Mailing Address - State:HI
Mailing Address - Zip Code:96749-9512
Mailing Address - Country:US
Mailing Address - Phone:808-280-0459
Mailing Address - Fax:
Practice Address - Street 1:2307A KINOOLE ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-5642
Practice Address - Country:US
Practice Address - Phone:808-280-0459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-18
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker