Active NPI
Jennifer Langley, DSW, LCSW
- Clinical Social Worker
- Waipahu, HI
National Provider Identifier
1164990156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4912
- Practice address
- 94-781 Lumiauau St
Waipahu, HI 96797-5630 - Phone
- (808) 721-1605
- NPI assigned
- Nov 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | LCSW-4912 | HI | Primary |
Addresses
Primary practice location
94-781 Lumiauau St
Waipahu, HI 96797-5630
Mailing address
94-781 Lumiauau St
Waipahu, HI 96797-5630
Other practice location 1
91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602
Phone (808) 671-8511
Other practice location 2
92-461 Makakilo Dr
Kapolei, HI 96707-1270
Phone (808) 529-4527 ext. 3215
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-4912 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mana Wellness, LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Waipahu, HI
- NPI 1730860297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1164990156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-781 LUMIAUAU ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967975630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-781 LUMIAUAU ST",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967975630",
"telephone_number": "808-721-1605"
}
],
"practiceLocations": [
{
"address_1": "91-2301 Old Ft Weaver Rd",
"address_purpose": "LOCATION",
"city": "Ewa Beach",
"state": "HI",
"postal_code": "967063602",
"country_code": "US",
"telephone_number": "808-671-8511",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "92-461 Makakilo Dr",
"address_purpose": "LOCATION",
"city": "Kapolei",
"state": "HI",
"postal_code": "967071270",
"country_code": "US",
"telephone_number": "808-529-4527 x3215",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGLEY",
"first_name": "JENNIFER",
"name_prefix": "Mrs.",
"credential": "DSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, 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.