Provider Demographics
NPI:1891589529
Name:MAWAE, KAUANOE (LCSW)
Entity type:Individual
Prefix:
First Name:KAUANOE
Middle Name:
Last Name:MAWAE
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 1:282 KAIWAHINE ST
Mailing Address - Street 2:
Mailing Address - City:KIHEI
Mailing Address - State:HI
Mailing Address - Zip Code:96753-7621
Mailing Address - Country:US
Mailing Address - Phone:808-892-7937
Mailing Address - Fax:
Practice Address - Street 1:1955 MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1741
Practice Address - Country:US
Practice Address - Phone:808-892-7937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI53241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical