Michelle Birdsall, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MICHELLE BIRDSALL, LLC

Doing business as

Michelle Birdsall, LLC

Practice address

91-110 Hanua St Ste 208a
Kapolei, HI 96707-1742

Phone

(808) 383-3764

Fax

(888) 610-7695

NPI assigned

Dec 1, 2023

Organization subpart

No

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

Authorized official

Name

Michelle BirdsallNPI 1205026614

Title

Owner

Phone

(808) 383-3764

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Michelle Birdsall, LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle M.K. Birdsall, MSW, LCSW

  • Clinical Social Worker
  • Kapolei, HI
  • NPI 1205026614
  NPD Authorized official

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701561600000",
    "number": "1023884848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-110 HANUA ST STE 208A",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071742",
            "telephone_number": "808-383-3764",
            "fax_number": "888-610-7695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-110 HANUA ST STE 208A",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071742",
            "telephone_number": "808-383-3764",
            "fax_number": "888-610-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE BIRDSALL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A",
        "authorized_official_last_name": "BIRDSALL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-383-3764"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "632720",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michelle Birdsall, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Michelle Birdsall, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mel a Ona M D Incorporated (Ohana Gastroenterology)
• Lauren Melendez, LMFT
• Jayleen K Mendoza, RN
• Celine Uilani Mesiona-Perez
• Michael M. Okano, D.D.S., Inc.
• Mary Hope Micua
• Raynold Miguel, R.PH.
• Desiree Milam
• Victoria Millan
• Kai Mills

• Clinical Social Worker in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; 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.