Active NPI
Rachel Samantha Donahue Ebert, LCSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1376986067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2030
- Practice address
- 245 N Kukui St Ste 102a
Honolulu, HI 96817-3921 - Phone
- (808) 672-2932
- NPI assigned
- Apr 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2030 | HI | |
| Clinical Social Worker | 1041C0700X | 2030 | HI | Primary |
Addresses
Primary practice location
245 N Kukui St Ste 102a
Honolulu, HI 96817-3921
Mailing address
245 N Kukui St Ste 102a
Honolulu, HI 96817-3921
Phone (808) 672-2932
Other names 1
- Rachel Samantha Donahue
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 |
|---|---|---|---|
| 2030 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1376986067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 N KUKUI ST STE 102A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968173921",
"telephone_number": "808-672-2932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 N KUKUI ST STE 102A",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968173921",
"telephone_number": "808-672-2932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EBERT",
"first_name": "RACHEL",
"middle_name": "SAMANTHA DONAHUE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-11",
"last_updated": "2023-09-11",
"certification_date": "2022-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "2030",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "2030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "DONAHUE",
"middle_name": "SAMANTHA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.