Individual provider Active NPI

Elaine Lelanda Hicks, LCSW

  • Social Worker
  • Kapolei, HI
National Provider Identifier
1306437058
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LCSW-4620 Issued in HI
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

Updated by the provider on Jan 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210422002416 HI Practitioner - Clinical Social Worker 1658789078 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Current Accepting new patients
Girl Genius Labs LLC CurrentSince Sep 1, 2021 Accepting new patients
Imua Health Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Imua Heart PastSince Jul 2, 2023 Accepting new patients
Maulihiwa Wellness, LLC PastSince Jun 11, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.