Individual provider Active NPI

Elvina Nartatez, LCSW

  • Clinical Social Worker
  • Hilo, HI
National Provider Identifier
1407257181
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4684-0 Issued in HI
Practice address
622 Hinano St
Hilo, HI 96720
Phone
(808) 589-1829
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-4684-0 HI Primary

Addresses

Primary practice location

622 Hinano St
Hilo, HI 96720

Mailing address

91-2128 Old Ft Weaver Rd
Ewa Beach, HI 96706-1911
Phone (808) 589-1829

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

LicenseStateTypeSpecialty
LCSW-4684-0HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hale Kipa, Inc. CurrentSince May 14, 2023 Accepting new patients

Locations

91-2128 Fort Weaver Rd
Ewa Beach, HI 96706
Phone (808) 738-6814

615 Piikoi St
Ste 203
Honolulu, HI 96814
Phone 8085891829 ext. 114

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": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1407257181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-2128 OLD FT WEAVER RD",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967061911",
            "telephone_number": "808-589-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 HINANO ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-589-1829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NARTATEZ",
        "first_name": "ELVINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4684-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.