Bennett Zakaria Valencia, LCSW, BCBA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3634 Issued in HI

Practice address

615 Piikoi St Ste 600
Honolulu, HI 96814-3176

Phone

(808) 265-3278

NPI assigned

Apr 23, 2013

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  HI

  Medicare reassignment NPD

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1639513484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-1065 EMEPELA WAY APT 1R",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443975",
            "telephone_number": "808-265-3278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PIIKOI ST STE 600",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143176",
            "telephone_number": "808-265-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "BENNETT",
        "middle_name": "ZAKARIA",
        "credential": "LCSW, BCBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyndsie Ortiz Valdez
• Mark Anthony Valdez, M.D.
• Sage Noelani Piano Valdez
• Sunshine Corliss Valdilles
• Bailee Galicia Valencia
• Douglas Valenta, MD
• Mona Liza Valentin, PHARMD
• Christie Puluelo Valentine
• Kimberly L. Valentine, MD
• Shana Kristine Ikeda Valenzuela, BACB 1-21-49139

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, 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 Apr 23, 2013; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.