Lynne Rose Mollo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

HI-3978 Issued in HI

Practice address

15-1463 Awa Ave
Keaau, HI 96749

Phone

(808) 938-4393

NPI assigned

May 18, 2009

Last updated

Sep 27, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Lynne Rose-Mollo Brauher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Kipuka Counseling and Consulting, LLC

  • Clinical Social Worker
  • Kea'au, HI
  • NPI 1154824407
  NPD Authorized official

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

{
    "created_epoch": "1242604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1588899793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1721",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "808-938-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-1463 AWA AVE",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96749",
            "telephone_number": "808-938-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLO",
        "first_name": "LYNNE",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-18",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "HI-3978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LYNNE",
            "last_name": "BRAUHER",
            "middle_name": "ROSE-MOLLO",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Karl Mead, D.D.S.
• David Mendonsa, PA-C
• Claudia Miller I
• Dakota Mitchell, APRN
• Briley Moates
• Angeline Moniz
• Hilary Moses, MSW, LCSW
• Pomaikai Shea Murakami, PA-C
• Jobette Nabarro
• Georgianne Kuualoha Nacionales

• Clinical Social Worker in Kea'au, HI
• Providers in Kea'au, 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 Sep 27, 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.

Verify at the official NPI Registry.