Individual provider Active NPI

Lynda M Su'Esu'E, L.C.S.W, A.C.S.W.

  • Social Worker
  • Hilo, HI
National Provider Identifier
1285963835
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
11 Furneaux LN
# 213
Hilo, HI 96720-2868
Phone
(808) 345-6711
NPI assigned
Dec 10, 2009
Sex
Female
Sole proprietor
No

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X Primary

Addresses

NPPES NPI Registry

Primary practice location

11 Furneaux LN
# 213
Hilo, HI 96720-2868

Mailing address

PO Box 492553
Keaau, HI 96749-2553
Phone (808) 345-6711

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 23, 2010.

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1285963835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 492553",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967492553",
            "telephone_number": "808-345-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FURNEAUX LN",
            "address_2": "# 213",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202868",
            "telephone_number": "808-345-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SU'ESU'E",
        "first_name": "LYNDA",
        "middle_name": "M",
        "credential": "L.C.S.W, A.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.