Krenelka, Stacey
Krenelka, Stacey is an individual health care provider with primary practice located at 1881 Nani St , Wailuku HI 96793-1811. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Krenelka, Stacey can be contacted via phone (808) 871-7772.Contact Information
Primary practice address
1881 Nani St
Wailuku HI 96793-1811
Phone: (808) 871-7772
Fax: (808) 872-4030
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCSW3106 | Hawaii |
Profile Details
| NPI number | 1225188618 |
|---|---|
| LBN Legal business name | Krenelka, Stacey |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Dec 2nd, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225188618 | NPPES |
| Hawaii | MEDICAID | 071290-01 |
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