Individual provider Active NPI

Georgina Mollica, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1225201676
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW - 3274 Issued in HI
Practice address
1485 Linapuni St
Ste 105
Honolulu, HI 96819-3575
Phone
(808) 843-5312
Fax
(808) 848-2069
NPI assigned
Apr 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 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 LCSW - 3274 HI Primary

Addresses

Primary practice location

1485 Linapuni St
Ste 105
Honolulu, HI 96819-3575

Mailing address

1485 Linapuni St
Ste 105
Honolulu, HI 96819-3575
Phone (808) 843-5312

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

LicenseStateTypeSpecialty
LCSW - 3274HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207526400000",
    "number": "1225201676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 LINAPUNI ST",
            "address_2": "STE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193575",
            "telephone_number": "808-843-5312",
            "fax_number": "808-848-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 LINAPUNI ST",
            "address_2": "STE 105",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193575",
            "telephone_number": "808-843-5312",
            "fax_number": "808-848-2069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLICA",
        "first_name": "GEORGINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW - 3274",
            "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 Apr 7, 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.