IndividualActive
Kaitlyn Stafford, LCSW OR LICSW
NPI 1225589955 · Clinical Social Worker · Waimanalo, HI
Provider details
- NPI number
- 1225589955
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW OR LICSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- SW13674 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
41-038 Wailea St Ste C
Waimanalo, HI 96795-1671
Phone: (808) 518-4976
Approximate (ZIP-level) locationGet directions
Mailing address
41-038 Wailea St Ste C
Waimanalo, HI 96795-1671
Registry dates
- Enumerated
- 2016-10-18
- Last updated
- 2017-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.