Mari Kanemura, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3968 Issued in HI

Practice address

1742 Kaahumanu Ave
Wailuku, HI 96793-2407

Phone

(808) 364-9391

NPI assigned

May 18, 2015

Sex

Female

Sole proprietor

Yes

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.

• Good Grief Clinic LLC

  • Clinical Social Worker
  • Wailuku, HI
  • NPI 1508534132

  Clinical, HI

  Medicare reassignment NPD Authorized official
• Ola Hou Clinic

  • Clinical Psychologist
  • Aiea, HI
  • NPI 1942359468

  HI

  Medicare reassignment

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 12, 2024.

{
    "created_epoch": "1431907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1326426727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 KAAHUMANU AVE",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932407",
            "telephone_number": "808-364-9391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 KAAHUMANU AVE",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932407",
            "telephone_number": "808-364-9391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANEMURA",
        "first_name": "MARI",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-18",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "1934",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "793085",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph K Kamaka III, M.D.
• Holly Kamana, LMHC, CSAC
• Shaun Kamisato
• Liana Leimomilani Kanamu07
• Tom Kane, PSY.D,LCSW,CSAC,
• Penny Lou Kaneshina, R. D.
• Kaona Care Home LLC
• Andrea Kaopuiki
• Edith Kawaiopua Kapiko
• Kapiolani Radiology Services LLC

• All providers in Wailuku, HI
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.