Organization Active NPI

Larisa Nebre, LLC

  • Clinical Social Worker
  • Kilauea, HI
National Provider Identifier
1003678558
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LARISA NEBRE, LLC
Practice address
4343 Aalona St
Kilauea, HI 96754-5344
Phone
(808) 635-2114
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Larisa Hisako Nebre, LCSW
Title
Owner
Phone
(808) 635-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4343 Aalona St
Kilauea, HI 96754-5344

Mailing address

4343 Aalona St
Kilauea, HI 96754-5344
Phone (808) 635-2114

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1003678558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 AALONA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545344",
            "telephone_number": "808-635-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 AALONA ST",
            "city": "KILAUEA",
            "state": "HI",
            "postal_code": "967545344",
            "telephone_number": "808-635-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARISA NEBRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "NEBRE",
        "authorized_official_first_name": "LARISA",
        "authorized_official_middle_name": "HISAKO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-635-2114",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kilauea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.