Alcisto, Jay Casupang

Alcisto, Jay Casupang is an individual health care provider with primary practice located at 459 Patterson Rd # 116 , Honolulu HI 96819-1522. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Alcisto, Jay Casupang can be contacted via phone (808) 433-0778.

Contact Information

Primary practice address
459 Patterson Rd # 116 Honolulu HI 96819-1522
Phone: (808) 433-0778
Fax: (808) 433-0395
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3750 Hawaii

Profile Details

NPI number 1326217241
LBN Legal business name Alcisto, Jay Casupang
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2008
Last updated Jul 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326217241 NPPES
Hawaii Other 3750 LCSW

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