Provider Demographics
NPI:1144661364
Name:WEBSTER, FLORENCE YOUNG (LCSW)
Entity type:Individual
Prefix:MS
First Name:FLORENCE
Middle Name:YOUNG
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:819 AALAPAPA DR
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-3115
Mailing Address - Country:US
Mailing Address - Phone:808-372-8816
Mailing Address - Fax:808-638-7919
Practice Address - Street 1:46-001 KAMEHAMEHA HWY
Practice Address - Street 2:ROOM 217
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-3711
Practice Address - Country:US
Practice Address - Phone:808-372-8816
Practice Address - Fax:808-638-7919
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-16
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI38591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical