Individual provider Active NPI

Nicole Woodson

  • Clinical Social Worker
  • Aiea, HI
National Provider Identifier
1497431860
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4461 Issued in HI
Practice address
98-099 Uao PL Apt 3209
Aiea, HI 96701-5009
Phone
(443) 655-0634
NPI assigned
Jun 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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 4461 HI Primary

Addresses

Primary practice location

98-099 Uao PL Apt 3209
Aiea, HI 96701-5009

Mailing address

98-099 Uao PL Apt 3209
Aiea, HI 96701-5009
Phone (443) 655-0634

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
I20231127000584 HI Practitioner - Clinical Social Worker 3678921004 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4461HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
IHS the Institute for Human Services Inc CurrentSince Oct 31, 2025 Accepting new patients
BMSC Hi LLC Clinical CurrentSince Oct 2, 2023 Accepting new patients

Locations

350 Sumner St
Honolulu, HI 96817
Phone (808) 447-2900

650 Iwilei Rd
Ste 202
Honolulu, HI 96817

546 Kaaahi St
Honolulu, HI 96817
Phone (808) 447-2863

925 Bethel St
Ste 306
Honolulu, HI 96813
Phone (808) 753-1286

10204 Bode St
Ste C
Plainfield, IL 60585
Phone (630) 844-7077

Organizations & group practices 2

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1497431860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-099 UAO PL APT 3209",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015009",
            "telephone_number": "443-655-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-099 UAO PL APT 3209",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015009",
            "telephone_number": "443-655-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODSON",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-22",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

Verify at the official NPI Registry.