NPIMap

Individual provider Active NPI

Michele A. Rodgaard-McGinley, LCSW

  • Clinical Social Worker
  • Kalaheo, HI
National Provider Identifier
1376741496
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS 16185 Issued in CA
Practice address
2-2514 Kaumualii Hwy.
Suite 105
Kalaheo, HI 96741
Phone
(808) 332-5015
Fax
(808) 332-5015
NPI assigned
Jul 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS 16185 CA Primary
Clinical Social Worker 1041C0700X LCSW 3457 HI

Addresses

Primary practice location

2-2514 Kaumualii Hwy.
Suite 105
Kalaheo, HI 96741

Mailing address

PO Box 889
Kalaheo, HI 96741
Phone (808) 332-5015

Other identifiers 2

IdentifierTypeStateIssuer
LCSW3457OtherHISOCIAL WORKER LICENSE NUMBER
GR0051600MedicaidCA

Other names 1

  • Michele A Rodgaard Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS 16185CAMDClinical Social Worker
LCSW 3457HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Karin Stoll, MSW, DCSW Clinical Past Accepting new patients

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": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1376741496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "96741",
            "telephone_number": "808-332-5015",
            "fax_number": "808-332-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-2514 KAUMUALII HWY.",
            "address_2": "SUITE 105",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "96741",
            "telephone_number": "808-332-5015",
            "fax_number": "808-332-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGAARD-MCGINLEY",
        "first_name": "MICHELE",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 16185",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW 3457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER LICENSE NUMBER",
            "identifier": "LCSW3457",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051600",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELE",
            "last_name": "RODGAARD",
            "middle_name": "A",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalaheo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.