| Deborah Withers Lcsw Inc. | |
|
56-825 Waiolu Place Hawi HI 96719 | |
| (978) 456-7705 | |
| (978) 456-7705 |
| Full Name | Deborah Withers Lcsw Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 56-825 Waiolu Place, Hawi, Hawaii |
| Authorized Official Name and Position | Deborah A Withers (OWNER) |
| Authorized Official Contact | 9784567705 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Withers Lcsw Inc. Po Box 685 Kapaau HI 96755-0685 Ph: (978) 456-7705 | Deborah Withers Lcsw Inc. 56-825 Waiolu Place Hawi HI 96719 Ph: (978) 456-7705 |
| NPI Number | 1518667799 |
|---|---|
| Provider Enumeration Date | 03/07/2023 |
| Last Update Date | 03/07/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 1153796313 |
|---|---|
| Medicare Enrollment ID | O20230331002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518667799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deborah A Withers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568418135 PECOS PAC ID: 4587680905 Enrollment ID: I20180622000991 |
Big Island Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56-3006 Puakea Bay Drive, 278, Hawi, HI 96719 Phone: 808-640-1200 | |
Sacred Life Wellness, Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55-3406 Akoni Pule Hwy, Hawi, HI 96719 Phone: 808-209-2263 Fax: 833-402-1821 |