Thomas Joel Robertson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW#3626 Issued in HI

Practice address

56-117 Pualalea St
Kahuku, HI 96731-2052

Phone

(808) 386-4964

Fax

(808) 236-3200

NPI assigned

Mar 26, 2010

Last updated

May 16, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• HI PPO
• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• Direct secure messaging: thomas.robertson.1@28735.direct.athenahealth.com

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.

• Ko Olauloa Health Center

  dba Ko'olauloa Community Health and Wellness Center, Kahuku Medical

  • Federally Qualified Health Center (FQHC)
  • Kahuku, HI
  • NPI 1528026952
  Medicare reassignment
• Ko Olauloa Health Center

  dba Ko'olauloa Pharmacy

  • Clinic Pharmacy
  • Kahuku, HI
  • NPI 1235442849
  NPD (past)

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1144544677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967310395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-117 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-386-4964",
            "fax_number": "808-236-3200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "56-119 Pualalea St",
            "address_purpose": "LOCATION",
            "city": "Kahuku",
            "state": "HI",
            "postal_code": "967312052",
            "country_code": "US",
            "telephone_number": "808-293-9231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "THOMAS",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-26",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW#3626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quela Tihani Puaauli-Puahi
• Jill Wojcik Pula, LCSW, CSAC
• Christine Marie Reynolds, RN
• Jennifer Lynn Roberts, LMFT
• Masinaatoa Roberts, LMHC
• Brooke Leslie Roy
• Stephanie Royce
• Don Briant Sand
• Merita Sao-Auelua, REGISTERED NURSE
• Cheyenne Schoenfeld

• Clinical Social Worker in Kahuku, HI
• Providers in Kahuku, 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 May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.