David Kazmierczak

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 4193 Issued in HI

Practice address

14-803A Seaview Rd
Pahoa, HI 96778-1341

Phone

(808) 938-6565

NPI assigned

Dec 27, 2016

Last updated

Dec 27, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sirius Research Group IncGroup PAC ID 5890938740, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sirius Research Group Inc

  • Clinical Social Worker
  • Pahoa, HI
  • NPI 1851608673
  Medicare reassignment Care Compare group NPD
• The Green Will Conservancy Inc

  • Clinical Social Worker
  • Pahoa, HI
  • NPI 1588971303
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1568907756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1341",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967781341",
            "telephone_number": "808-938-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14-803A SEAVIEW RD",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967781341",
            "telephone_number": "808-938-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMIERCZAK",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-27",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW 4193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kala & Associates, Inc.
• Lisa Kaneshiro, PSY
• Kathleen Gorman, LLC
• Kau Hospital (East Hawaii Health Clinic at Pahoa)
• Kau Hospital (East Hawaii Health Clinic at Puna Kai)
• Gwen L Keliihoomalu, MA, CRC, LMHC
• Kinesis Hawaii Inc.
• Jason R King
• Robin J Kloda
• Anna Koley

• Clinical Social Worker in Pahoa, HI
• Providers in Pahoa, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.