Basic Information
Provider Information
NPI: 1003002668
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROCHELLE-WILLIAMS
FirstName: DEBORAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 25243
Address2: HAWAII KAI POST OFFICE
City: HONOLULU
State: HI
PostalCode: 968250243
CountryCode: US
TelephoneNumber: 8083818548
FaxNumber: 8085438487
Practice Location
Address1: 3555 HARDING AVE
Address2: SUITE 2F
City: HONOLULU
State: HI
PostalCode: 968162468
CountryCode: US
TelephoneNumber: 8083818548
FaxNumber: 8085438487
Other Information
ProviderEnumerationDate: 09/18/2007
LastUpdateDate: 09/28/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700X3417HIY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


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