Organization Active NPI

G. Keoki Scanlan Moises, LCSW, Csac, LLC

  • Clinical Social Worker
  • Waianae, HI
National Provider Identifier
1104272947
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
G. KEOKI SCANLAN MOISES, LCSW, CSAC, LLC
Practice address
87-908 Kulauku St
Waianae, HI 96792-3353
Phone
(808) 728-7346
NPI assigned
May 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Mr. George Scanlan Moises, LCSW, CSACNPI 1487140372
Title
Owner
Phone
(808) 728-7346

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

87-908 Kulauku St
Waianae, HI 96792-3353

Mailing address

87-908 Kulauku St
Waianae, HI 96792-3353
Phone (808) 728-7346

Other names 1

  • G. Keoki Scanlan Moises LCSW, CSAC LLC Doing business as

National Provider Directory

National Provider Directory

Locations

590 Farrington Hwy
Unit 190
Kapolei, HI 96707

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1104272947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87-908 KULAUKU ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923353",
            "telephone_number": "808-728-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87-908 KULAUKU ST",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923353",
            "telephone_number": "808-728-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. KEOKI SCANLAN MOISES, LCSW, CSAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-11",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "MOISES",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "SCANLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-728-7346",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G. Keoki Scanlan Moises LCSW, CSAC LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waianae, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.