Individual
ASYA PENZO-SHUMARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 N VINEYARD BLVD STE A325, HONOLULU, HI 96817-3938
(773) 888-3312
Mailing address
PO BOX 235292, HONOLULU, HI 96823-3504
(773) 888-3312
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11756
SC
1041C0700X
Clinical Social Worker
Primary
11756
SC
1041C0700X
Clinical Social Worker
5476
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LW1048
—
SC
Enumeration date
06/30/2016
Last updated
04/07/2026
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