Joliene Gene Hasugulayag, MSW, LSW
Individual provider Active NPI Social Worker · Maite, GU
NPI 1316635683 · NPPES record last updated Apr 25, 2023
Key facts
- NPI
- 1316635683
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- LSW1690 (HI)
- Practice address
- 400 Route 8 Ste 303
Maite, GU 96910-2003 - Phone
- (671) 475-0061
- Fax
- (671) 475-0065
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LSW1690 | HI | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | LSW1690 | HI | Yes |
Addresses
Primary practice location
400 Route 8 Ste 303
Maite, GU 96910-2003
Mailing address
PO Box 11733
Yigo, GU 96929-0733
Phone (671) 987-1375
Other providers in Maite, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.