Individual provider Active NPI

Malie Josette Clarisse Carvalho, LCSW

  • Clinical Social Worker
  • Mountain View, HI
National Provider Identifier
1255046819
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4956 Issued in HI
Practice address
18-7847 Ewalina Rd
Mountain View, HI 96771-0997
Phone
(808) 896-1280
NPI assigned
Jan 18, 2023
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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-4956 HI Primary

Addresses

Primary practice location

18-7847 Ewalina Rd
Mountain View, HI 96771-0997

Mailing address

PO Box 997
Mountain View, HI 96771-0997
Phone (808) 896-1280

Other practice location 1

1292 Waianuenue Ave
Hilo, HI 96720-1228
Phone (833) 833-3333

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL malie@kamanaservices.net Health Information Exchange (HIE)
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230721002231 HI Practitioner - Clinical Social Worker 7315307360 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Partners Hawaii PHP and Iop, LLC CurrentSince Jun 30, 2024 Accepting new patients
Kaiser Foundation Health Plan Inc CurrentSince Jul 31, 2023 Accepting new patients
Kaiser Foundation Health Plan Inc Single Specialty Current Accepting new patients
Kaiser Foundation Health Plan, Inc CurrentSince Jul 31, 2023 Accepting new patients
Wellness Partners Hawaii Inc Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Ka Mana Services, LLC Clinical CurrentSince Jan 22, 2023 Accepting new patients

Locations

1292 Waianuenue Ave
Hilo, HI 96720
Phone (808) 334-4400

3288 Moanalua Rd
Honolulu, HI 96819
Phone (808) 265-9205

6700 Kalanianaole Hwy
Ste 201
Honolulu, HI 96825
Phone (808) 264-4915

711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312

850 W Hind Dr
Ste 116
Honolulu, HI 96821
Phone (808) 379-6656

599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1255046819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 997",
            "city": "MOUNTAIN VIEW",
            "state": "HI",
            "postal_code": "967710997",
            "telephone_number": "808-896-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18-7847 EWALINA RD",
            "city": "MOUNTAIN VIEW",
            "state": "HI",
            "postal_code": "967710997",
            "telephone_number": "808-896-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1292 Waianuenue Ave",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967201228",
            "country_code": "US",
            "telephone_number": "833-833-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARVALHO",
        "first_name": "MALIE",
        "middle_name": "JOSETTE CLARISSE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "malie@kamanaservices.net",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "malie@kamanaservices.net",
            "address_1": "18-7847 Ewalina Rd",
            "city": "Mountain View",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967710997",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1292 Waianuenue Ave",
            "city": "Hilo",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967201228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mountain View, HI

Sources for this page

Verify at the official NPI Registry.