Provider Demographics
NPI:1861121675
Name:CAMBRA, CHAD JASON (LSW)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:JASON
Last Name:CAMBRA
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:91-1051 FRANKLIN D ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:KAPOLEI
Mailing Address - State:HI
Mailing Address - Zip Code:96707-2185
Mailing Address - Country:US
Mailing Address - Phone:808-458-5065
Mailing Address - Fax:
Practice Address - Street 1:91-1051 FRANKLIN D ROOSEVELT AVE
Practice Address - Street 2:
Practice Address - City:KAPOLEI
Practice Address - State:HI
Practice Address - Zip Code:96707-2185
Practice Address - Country:US
Practice Address - Phone:808-458-5065
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI2606104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker