Individual provider Active NPI

Melanie Marion Oliveira, LCSW

  • Clinical Social Worker
  • Kailua, HI
National Provider Identifier
1336329119
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3948 Issued in HI
Practice address
354 Uluniu St
# 203A
Kailua, HI 96734-2528
Phone
(808) 745-6123
NPI assigned
Nov 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X RC00050599 WA
Clinical Social Worker 1041C0700X LW60125884 WA
Clinical Social Worker 1041C0700X 3948 HI Primary

Addresses

Primary practice location

354 Uluniu St
# 203A
Kailua, HI 96734-2528

Mailing address

1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-8600

Other names 1

  • Melanie Dori Marion Former name

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
I20170126002246 HI Practitioner - Clinical Social Worker 0042592099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

354 Uluniu St
Suite 203
Kailua, HI 96734-2554
Phone (808) 745-6123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RC00050599WAMDProfessional Counselor
LW60125884WAMDClinical Social Worker
3948HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Insight Therapy LLC Clinical CurrentSince Nov 17, 2016 Accepting new patients

Locations

354 Uluniu St
#203A
Kailua, HI 96734
Phone (808) 745-6123

354 Uluniu St
Ste 203
Kailua, HI 96734
Phone (808) 258-0018

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1336329119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 ULUNIU ST",
            "address_2": "# 203A",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342528",
            "telephone_number": "808-745-6123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVEIRA",
        "first_name": "MELANIE",
        "middle_name": "MARION",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00050599",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60125884",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "MARION",
            "middle_name": "DORI",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.