Active NPI
Katherine Holbrook, LCSW
- Clinical Social Worker
- Kailua, HI
National Provider Identifier
1538838644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-5203-0
- Practice address
- 93 N Kainalu Dr
Kailua, HI 96734-2331 - Phone
- (808) 825-4214
- Fax
- (866) 985-6799
- NPI assigned
- Sep 10, 2021
- Sex
- Female
- Sole proprietor
- No
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-5203-0 | HI | Primary |
Addresses
Primary practice location
93 N Kainalu Dr
Kailua, HI 96734-2331
Mailing address
224 Kamehameha Ave Ste 201
Hilo, HI 96720-2860
Phone (808) 825-4214
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 |
|---|---|---|---|
| LCSW-5203-0 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1538838644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 KAMEHAMEHA AVE STE 201",
"city": "HILO",
"state": "HI",
"postal_code": "967202860",
"telephone_number": "808-825-4214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 N KAINALU DR",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342331",
"telephone_number": "808-825-4214",
"fax_number": "866-985-6799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "KATHERINE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-10",
"last_updated": "2024-08-12",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-5203-0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.