Active NPI
David James Pawlak, LCSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1487264644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4790
- Practice address
- 459 Patterson Rd
Honolulu, HI 96819-1522 - Phone
- (808) 940-2996
- Fax
- (808) 682-0181
- NPI assigned
- Aug 3, 2020
- Sex
- Male
- Sole proprietor
- No
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 | LSW-2541 | HI | |
| Clinical Social Worker | 1041C0700X | LCSW-4790 | HI | Primary |
Addresses
Primary practice location
459 Patterson Rd
Honolulu, HI 96819-1522
Mailing address
459 Patterson Rd
Honolulu, HI 96819-1522
Phone (808) 940-2996
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 |
|---|---|---|---|
| LSW-2541 | HI | MD | Social Worker |
| LCSW-4790 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1487264644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "459 PATTERSON RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522",
"telephone_number": "808-940-2996",
"fax_number": "808-682-0181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 PATTERSON RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522",
"telephone_number": "808-940-2996",
"fax_number": "808-682-0181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAWLAK",
"first_name": "DAVID",
"middle_name": "JAMES",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-03",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "LSW-2541",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4790",
"primary": true
}
],
"identifiers": [],
"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 Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.