Active NPI
Annajean Smith, LCSW
- Clinical Social Worker
- Kihei, HI
National Provider Identifier
1285490136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4677
- Practice address
- 1781 Halama St Apt a
Kihei, HI 96753-8011 - Phone
- (406) 396-1515
- NPI assigned
- Feb 27, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4677 | HI | Primary |
Addresses
Primary practice location
1781 Halama St Apt a
Kihei, HI 96753-8011
Mailing address
1781 Halama St Apt a
Kihei, HI 96753-8011
Phone (406) 396-1515
Other practice location 1
400 Mahalani St
Wailuku, HI 96793-2547
Phone (808) 463-0179
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4677 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospice Maui, Inc | Current | Accepting new patients |
Locations
400 Mahalani St
Wailuku, HI 96793
Phone (800) 244-5555
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 Based Hospice Care Agency
- Wailuku, HI
- NPI 1063445690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708992000000",
"number": "1285490136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1781 HALAMA ST APT A",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538011",
"telephone_number": "406-396-1515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1781 HALAMA ST APT A",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538011",
"telephone_number": "406-396-1515"
}
],
"practiceLocations": [
{
"address_1": "400 Mahalani St",
"address_purpose": "LOCATION",
"city": "Wailuku",
"state": "HI",
"postal_code": "967932547",
"country_code": "US",
"telephone_number": "808-463-0179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "ANNAJEAN",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-27",
"last_updated": "2024-02-27",
"certification_date": "2024-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "4677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; 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.