Doctor Name: | MS. AMY WAKEFIELD-MCDONALD |
NPI Number: | 1043483324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCSW-3152 |
Business Practice Address: | 75-5789 Kele Pl Kailua Kona, HI - 967401913 |
Business Phone Number: | 8083272162 |
Business Fax Number: | 8083291407 |
Mailing Address: | 75-5789 Kele Pl, KAILUA KONA |
State: | HI |
Postal Code: | 967401913 |
Phone Number: | 8083272162 |
Fax Number: | 8083291407 |
NPI Enumeration Date: | 04/08/2008 |
NPI Last Update Date: | 04/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-3152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |