| G. Keoki Scanlan Moises Lcsw, Csac | |
|
87-908 Kulauku St Waianae HI 96792-3353 | |
| (808) 728-7346 | |
| Not Available |
| Full Name | G. Keoki Scanlan Moises Lcsw, Csac |
|---|---|
| Speciality | Social Worker |
| Location | 87-908 Kulauku St, Waianae, Hawaii |
| Authorized Official Name and Position | George Scanlan Moises (OWNER) |
| Authorized Official Contact | 8087287346 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| G. Keoki Scanlan Moises Lcsw, Csac 87-908 Kulauku St Waianae HI 96792-3353 Ph: (808) 728-7346 | G. Keoki Scanlan Moises Lcsw, Csac 87-908 Kulauku St Waianae HI 96792-3353 Ph: (808) 728-7346 |
| NPI Number | 1669162665 |
|---|---|
| Provider Enumeration Date | 05/11/2023 |
| Last Update Date | 07/27/2023 |
| Certification Date | 07/12/2023 |
| Medicare PECOS PAC ID | 2163884131 |
|---|---|
| Medicare Enrollment ID | O20230809000274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669162665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | George S Moises |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487140372 PECOS PAC ID: 5890116917 Enrollment ID: I20200528000664 |
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