Provider Demographics
NPI:1902123763
Name:KAMAKELE, SHALIA (LCSW, CSAC)
Entity Type:Individual
Prefix:
First Name:SHALIA
Middle Name:
Last Name:KAMAKELE
Suffix:
Gender:F
Credentials:LCSW, CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41-038 WAILEA ST STE C
Mailing Address - Street 2:
Mailing Address - City:WAIMANALO
Mailing Address - State:HI
Mailing Address - Zip Code:96795-1671
Mailing Address - Country:US
Mailing Address - Phone:808-215-9272
Mailing Address - Fax:808-791-8343
Practice Address - Street 1:41-038 WAILEA ST STE C
Practice Address - Street 2:
Practice Address - City:WAIMANALO
Practice Address - State:HI
Practice Address - Zip Code:96795-1671
Practice Address - Country:US
Practice Address - Phone:808-215-9272
Practice Address - Fax:808-791-8343
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2018-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI43011041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical