Active NPI
Zachary M Wolf, LCSW
- Clinical Social Worker
- Kaneohe, HI
National Provider Identifier
1497466288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4828
- Practice address
- 45-586 Kanaka PL
Kaneohe, HI 96744-1725 - Phone
- (808) 228-4057
- NPI assigned
- Dec 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-4828 | HI | Primary |
Addresses
Primary practice location
45-586 Kanaka PL
Kaneohe, HI 96744-1725
Mailing address
45-586 Kanaka PL
Kaneohe, HI 96744-1725
Phone (808) 228-4057
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-4828 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670803200000",
"number": "1497466288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-586 KANAKA PL",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967441725",
"telephone_number": "808-228-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-586 KANAKA PL",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967441725",
"telephone_number": "808-228-4057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLF",
"first_name": "ZACHARY",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4828",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kaneohe, HI
- Windward Family Wellness Center
- Windward Obstetrics and Gynecology LLC
- Windward Pediatrics, Inc.
- Windward Urgent Care Services, L.L.C
- Windward Vision Center Associates, Inc.
- Robert Woliver, PH.D.
- Antonia Wollert, LPC
- Sasha Wong-Fulton
- Jayson Kaleomana Wong, PHARMD
- Kyle Andrew Konapiliahi Wong, D.D.S
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 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.