Individual provider Active NPI

Conchita Villafuerte Schlemmer, LCSW, DCSW

  • Clinical Social Worker
  • Aiea, HI
National Provider Identifier
1073557690
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW3129 Issued in HI
Practice address
99-128 Aiea Heights Dr. Aiea Medical BLDG,
Suite 704
Aiea, HI 96701
Phone
(808) 739-0908
Fax
(808) 739-0906
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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 LCSW3129 HI Primary

Addresses

Primary practice location

99-128 Aiea Heights Dr. Aiea Medical BLDG,
Suite 704
Aiea, HI 96701

Mailing address

2276 Pooleka St
Honolulu, HI 96816-3011
Phone (808) 739-0908

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW3129HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220400000000",
    "number": "1073557690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 POOLEKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163011",
            "telephone_number": "808-739-0908",
            "fax_number": "808-739-0906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-128 AIEA HEIGHTS DR. AIEA MEDICAL BLDG,",
            "address_2": "SUITE 704",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "96701",
            "telephone_number": "808-739-0908",
            "fax_number": "808-739-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEMMER",
        "first_name": "CONCHITA",
        "middle_name": "VILLAFUERTE",
        "credential": "LCSW, DCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2008; 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.