Individual provider Active NPI

Kalena Soltren Serraon, LCSW

  • Clinical Social Worker
  • Kalaheo, HI
National Provider Identifier
1508112871
Registry record updated Feb 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW - 4013 Issued in HI
Practice address
2-2514 Kaumualii Hwy Ste 205
Kalaheo, HI 96741-8304
Phone
(808) 855-0760
Fax
(844) 898-6130
NPI assigned
Jul 24, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2024

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 LCSW - 4013 HI Primary

Addresses

Primary practice location

2-2514 Kaumualii Hwy Ste 205
Kalaheo, HI 96741-8304

Mailing address

2224 Peleleu PL
Kalaheo, HI 96741-9782
Phone (808) 634-8658

Other practice location 1

2970 Kele St
Suite 203
Lihue, HI 96766-1823
Phone (808) 245-5914

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

LicenseStateTypeSpecialty
LCSW - 4013HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kalena Soltren Serraon LCSW LLC Clinical CurrentSince Mar 24, 2024 Accepting new patients

Locations

2-2514 Kaumualii Hwy
Ste 205
Kalaheo, HI 96741
Phone (425) 728-0369

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": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708819200000",
    "number": "1508112871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 PELELEU PL",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967419782",
            "telephone_number": "808-634-8658",
            "fax_number": "808-681-1486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2-2514 KAUMUALII HWY STE 205",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418304",
            "telephone_number": "808-855-0760",
            "fax_number": "844-898-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2970 Kele St",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Lihue",
            "state": "HI",
            "postal_code": "967661823",
            "country_code": "US",
            "telephone_number": "808-245-5914",
            "fax_number": "808-245-8040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SERRAON",
        "first_name": "KALENA",
        "middle_name": "SOLTREN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2024-02-25",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW - 4013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalaheo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2024; 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.