Provider Demographics
NPI:1942577788
Name:LINK, DENISE MARIA (LSW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:MARIA
Last Name:LINK
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1060 KAMEHAMEHA HWY
Mailing Address - Street 2:1602A
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-2557
Mailing Address - Country:US
Mailing Address - Phone:808-298-4279
Mailing Address - Fax:
Practice Address - Street 1:1403 CALIFORNIA AVE
Practice Address - Street 2:
Practice Address - City:WAHIAWA
Practice Address - State:HI
Practice Address - Zip Code:96786-2583
Practice Address - Country:US
Practice Address - Phone:808-621-2322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-22
Last Update Date:2011-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1963104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker