Kristen A Hale, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4478 Issued in HI

Practice address

75-5706 Hanama PL Ste 106D
Kailua Kona, HI 96740-1713

Phone

(808) 295-8052

Fax

(808) 442-3152

NPI assigned

Sep 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Childhaven, Inc

  • Foster Care Agency
  • Farmington, NM
  • NPI 1144303074
  NPD (past)
• Southwest Cares NV LLC

  • Clinical Psychologist
  • Santa Fe, NM
  • NPI 1053632851
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1366775751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5003",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967455003",
            "telephone_number": "709-799-4942",
            "fax_number": "808-442-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5706 HANAMA PL STE 106D",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401713",
            "telephone_number": "808-295-8052",
            "fax_number": "808-442-3152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78-6831 Alii Drive",
            "address_2": "Space E-243 Unit #206",
            "address_purpose": "LOCATION",
            "city": "Kailua-Kona",
            "state": "HI",
            "postal_code": "967402495",
            "country_code": "US",
            "telephone_number": "808-295-8052",
            "fax_number": "808-442-3152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALE",
        "first_name": "KRISTEN",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Beth Gupton, MASSAGE THERAPIST
• Chelsea Lenay Haaland, LCSW
• Timothy H. Hagino, MD
• Hale Psychology LLC
• Katlyn Hale, PSY.D.
• Grace Haley
• Dustan Hall
• Ellen E Halley, CRNA
• Nina Tatiana Hamid, DACM, L.AC, MAC.OM
• Taylor Ann Hamil, LM, CPM, LMT

• Clinical Social Worker in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.