Active NPI
Elaine Lelanda Hicks, LCSW
- Social Worker
- Kapolei, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW-4620
- Practice address
- 91-1265 Kamaaha Ave Apt 507
Kapolei, HI 96707-4917 - Phone
- (808) 675-1086
- NPI assigned
- Jan 26, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW-4620 | HI | Primary |
Addresses
Primary practice location
91-1265 Kamaaha Ave Apt 507
Kapolei, HI 96707-4917
Mailing address
91-1265 Kamaaha Ave Apt 507
Kapolei, HI 96707-4917
Phone (808) 675-1086
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | laptop |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Current | Accepting new patients | |
| Girl Genius Labs LLC | Current | Accepting new patients | |
| Imua Health Group, LLC | Current | Accepting new patients | |
| Imua Heart | Past | Accepting new patients | |
| Maulihiwa Wellness, LLC | Past | Accepting new patients |
Locations
99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 353-5052
99-080 Kauhale St
Ste C20
Aiea, HI 96701
Phone (808) 699-8235
46-005 Kawa St
Ste 203
Kaneohe, HI 96744
Phone (808) 247-9616
Interoperability endpoints
- elainehicks@tdh.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Psychologist
- Aiea, HI
- NPI 1023648995
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aiea, HI
- NPI 1265119416
-
- Primary Care Clinic/Center
- Kaneohe, HI
- NPI 1184281818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611619200000",
"number": "1306437058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1265 KAMAAHA AVE APT 507",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967074917",
"telephone_number": "808-675-1086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1265 KAMAAHA AVE APT 507",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967074917",
"telephone_number": "808-675-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "ELAINE",
"middle_name": "LELANDA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-26",
"last_updated": "2021-01-26",
"certification_date": "2021-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "LCSW-4620",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "laptop",
"affiliation": "N",
"address_1": "91-1265 Kamaaha Ave Apt 507",
"city": "Kapolei",
"state": "HI",
"country_code": "US",
"postal_code": "967074917",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.