Active NPI
William R Hudspeth, LCSW, CSAC/CCJP, SAP
- Clinical Social Worker
- Kailua, HI
National Provider Identifier
1336407246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 1987
- Practice address
- 42-477 Kalanianaole Hwy
Kailua, HI 96734-4302 - Phone
- (808) 266-9922
- NPI assigned
- Apr 27, 2012
- Last updated
- Nov 24, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 1987 | HI | Primary |
Addresses
Primary practice location
42-477 Kalanianaole Hwy
Kailua, HI 96734-4302
Mailing address
1364 Onioni St
Kailua, HI 96734-3755
Phone (808) 392-2570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1987 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416787200000",
"number": "1336407246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1364 ONIONI ST",
"city": "KAILUA",
"state": "HI",
"postal_code": "967343755",
"telephone_number": "808-392-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42-477 KALANIANAOLE HWY",
"city": "KAILUA",
"state": "HI",
"postal_code": "967344302",
"telephone_number": "808-266-9922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSPETH",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LCSW, CSAC/CCJP, SAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-27",
"last_updated": "2014-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "1987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.