Provider Demographics
NPI:1356405781
Name:OKUMURA, AYA (LCSW)
Entity type:Individual
Prefix:MS
First Name:AYA
Middle Name:
Last Name:OKUMURA
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 1:2211 ALA WAI BLVD APT 2514
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-2406
Mailing Address - Country:US
Mailing Address - Phone:510-593-6471
Mailing Address - Fax:
Practice Address - Street 1:2211 ALA WAI BLVD APT 2514
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96815-2406
Practice Address - Country:US
Practice Address - Phone:510-593-6471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS20347104100000X
HILCS4210104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker