Organization Active NPI

Robert a. Wolf, LCSW Inc

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1477688083
Registry record updated Nov 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-3201 Issued in HI
Legal business name
ROBERT A. WOLF, LCSW INC
Practice address
1188 Bishop St
Suite 1106
Honolulu, HI 96813-3301
Phone
(808) 587-0242
Fax
(808) 532-3323
NPI assigned
Feb 22, 2007
Last updated
Nov 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2013

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

Authorized official

Name
Mr. Robert A Wolf, L.C.S.W.
Title
President
Phone
(808) 587-0242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-3201 HI Primary

Addresses

Primary practice location

1188 Bishop St
Suite 1106
Honolulu, HI 96813-3301

Mailing address

1188 Bishop St
Suite 1106
Honolulu, HI 96813-3301
Phone (808) 587-0242

Other identifiers 8

IdentifierTypeStateIssuer
56200001MedicaidHI
073347972OtherHIUHA
00A0249084OtherHIHMSA- 1188 BISHOP ST.
073347972OtherHIALOHA CARE
073347972OtherHIHMAA
56100002MedicaidHI
0000249086OtherHIHMSA- 314 ULUNIU ST.
073347972OtherHITRICARE

National Provider Directory

National Provider Directory

Locations

1188 Bishop St
Ste 1106
Honolulu, HI 96813
Phone (808) 457-6336

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384387200000",
    "number": "1477688083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "SUITE 1106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133301",
            "telephone_number": "808-587-0242",
            "fax_number": "808-532-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "SUITE 1106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133301",
            "telephone_number": "808-587-0242",
            "fax_number": "808-532-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A. WOLF, LCSW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-11-14",
        "status": "A",
        "authorized_official_last_name": "WOLF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-587-0242",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56200001",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "073347972",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA- 1188 BISHOP ST.",
            "identifier": "00A0249084",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "073347972",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "073347972",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56100002",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA- 314 ULUNIU ST.",
            "identifier": "0000249086",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "073347972",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Nov 14, 2013; 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.