Individual provider Active NPI

Maile Pavao, LCSW

  • Clinical Social Worker
  • Hilo, HI
National Provider Identifier
1447408232
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3563 Issued in HI
Practice address
214 Waianuenue Ave Ste 209
Hilo, HI 96720-2489
Phone
(808) 961-7020
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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 3563 HI Primary

Addresses

Primary practice location

214 Waianuenue Ave Ste 209
Hilo, HI 96720-2489

Mailing address

214 Waianuenue Ave Ste 209
Hilo, HI 96720-2489
Phone (808) 961-7020

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241016002599 HI Practitioner - Clinical Social Worker 2163954025 Practice locations: Hilo, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3563HIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maile Pavao LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

58 Kinoole St
Ste 108
Hilo, HI 96720
Phone (808) 769-0401

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": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246492800000",
    "number": "1447408232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 WAIANUENUE AVE STE 209",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202489",
            "telephone_number": "808-961-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 WAIANUENUE AVE STE 209",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202489",
            "telephone_number": "808-961-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVAO",
        "first_name": "MAILE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2009-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.