Provider Demographics
NPI:1780386136
Name:LIMPAHAN, MARIE ELIZABETH (LCSW L16249)
Entity type:Individual
Prefix:
First Name:MARIE
Middle Name:ELIZABETH
Last Name:LIMPAHAN
Suffix:
Gender:F
Credentials:LCSW L16249
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1951
Mailing Address - Street 2:
Mailing Address - City:PAHOA
Mailing Address - State:HI
Mailing Address - Zip Code:96778-1951
Mailing Address - Country:US
Mailing Address - Phone:503-679-0240
Mailing Address - Fax:
Practice Address - Street 1:16-1904 KOLOA MAOLI RD 9
Practice Address - Street 2:
Practice Address - City:PAHOA
Practice Address - State:HI
Practice Address - Zip Code:97224-7659
Practice Address - Country:US
Practice Address - Phone:503-389-5529
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL162491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical