Individual provider Active NPI

Kainani M Derrickson, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1063146413
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-5436 Issued in HI
Practice address
1025 Waimanu St Apt 211
Honolulu, HI 96814-3427
Phone
(808) 797-5043
NPI assigned
Jul 12, 2022
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-5436 HI Primary

Addresses

Primary practice location

1025 Waimanu St Apt 211
Honolulu, HI 96814-3427

Mailing address

1521 Alexander St Apt 903
Honolulu, HI 96822-4961

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-5436HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Hawaii, LLC Social Worker CurrentSince Aug 28, 2022 Accepting new patients
Integrated Health Hawaii, LLC Social Worker CurrentSince Nov 1, 2022 Accepting new patients

Locations

1357 Kapiolani Blvd
Ste 1410
Honolulu, HI 96814
Phone (808) 220-6236

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1063146413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 ALEXANDER ST APT 903",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968224961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 WAIMANU ST APT 211",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143427",
            "telephone_number": "808-797-5043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICKSON",
        "first_name": "KAINANI",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.