Active NPI
David Fundakowski
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1154844454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4129
- Practice address
- 1001 Bishop St Ste 2685a
Honolulu, HI 96813-3404 - Phone
- (808) 443-9803
- NPI assigned
- Jul 19, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-4129 | HI | Primary |
Addresses
Primary practice location
1001 Bishop St Ste 2685a
Honolulu, HI 96813-3404
Mailing address
433A Kukuau St
Hilo, HI 96720-7806
Phone (808) 443-9803
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy With Aloha LLC | Clinical | Current | Accepting new patients |
| Mental Health Specialty Group PA | Current | Accepting new patients |
Locations
1001 Bishop St
Ste 2685A
Honolulu, HI 96813
Phone (706) 715-3105
500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490
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 and National Provider Directory roles.
-
- Clinical Social Worker
- Honolulu, HI
- NPI 1417753658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739577600000",
"number": "1154844454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433A KUKUAU ST",
"city": "HILO",
"state": "HI",
"postal_code": "967207806",
"telephone_number": "808-443-9803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 BISHOP ST STE 2685A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968133404",
"telephone_number": "808-443-9803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FUNDAKOWSKI",
"first_name": "DAVID",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-19",
"last_updated": "2025-02-15",
"certification_date": "2025-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4129",
"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 Feb 15, 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.