Provider Demographics
NPI:1205086626
Name:KELIINOI, TERILYN Y (LCSW)
Entity type:Individual
Prefix:MRS
First Name:TERILYN
Middle Name:Y
Last Name:KELIINOI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:TERILYN
Other - Middle Name:
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:321 N. KUAKINI STREET
Mailing Address - Street 2:SUITE #308
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817
Mailing Address - Country:US
Mailing Address - Phone:808-440-6852
Mailing Address - Fax:808-440-6878
Practice Address - Street 1:321 N. KUAKINI STREET
Practice Address - Street 2:SUITE #308
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817
Practice Address - Country:US
Practice Address - Phone:808-440-6852
Practice Address - Fax:808-440-6878
Is Sole Proprietor?:No
Enumeration Date:2008-09-22
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI17201041C0700X
HI36431041C0700X
HILCSW36431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI3643OtherSTATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS