Individual provider Active NPI

Wendy N Carter-Loretero, LCSW, CSAC

  • Clinical Social Worker
  • Kaneohe, HI
National Provider Identifier
1518645142
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4904 Issued in HI
Practice address
45-955 Kamehameha Hwy Ste 401
Kaneohe, HI 96744-3222
Phone
(808) 673-5982
Fax
(808) 865-2930
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2001-18 HI
Clinical Social Worker 1041C0700X 4904 HI Primary

Addresses

Primary practice location

45-955 Kamehameha Hwy Ste 401
Kaneohe, HI 96744-3222

Mailing address

111 Hekili St Ste A316
Kailua, HI 96734-2800
Phone (808) 673-5982

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
I20231023001376 HI Practitioner - Clinical Social Worker 1153777420 Practice locations: Kaneohe, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2001-18HIMDAddiction (Substance Use Disorder) Counselor
4904HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Resilience LLC Clinical CurrentSince Jul 1, 2023 Accepting new patients

Locations

111 Hekili St
Ste A316
Kailua, HI 96734
Phone (808) 673-5982

45-955 Kamehameha Hwy
Ste 401
Kaneohe, HI 96744
Phone (808) 222-2729

46-001 Kamehameha Hwy
Ste 217
Kaneohe, HI 96744
Phone (808) 343-7484

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1518645142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST STE A316",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800",
            "telephone_number": "808-673-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-955 KAMEHAMEHA HWY STE 401",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443222",
            "telephone_number": "808-673-5982",
            "fax_number": "808-865-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER-LORETERO",
        "first_name": "WENDY",
        "middle_name": "N",
        "credential": "LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "2001-18",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.