Individual provider · Type 1 NPI

Elijah Davenport

Clinical Social Worker · Honolulu, HI

NPI number 1508132572 Active

Practice location

615 Piikoi St, Suite 203
Honolulu, HI 96814-3116

Call (808) 589-1829 Map

Fax (808) 589-2610

Mailing address

PO Box 22922
Honolulu, HI 96823-2922

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCSW-4774 (HI)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1508132572

Elijah Davenport's National Provider Identifier is 1508132572, issued on Mar 23, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Honolulu, HI. The record was last updated on Jan 3, 2024.