Individual provider Active NPI

Mark G. Ansel, PH.D., LCSW

  • Clinical Social Worker
  • Kapaau, HI
National Provider Identifier
1649227992
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3115 Issued in HI
Practice address
54-3885A Akoni Pule Highway
Kapaau, HI 96755-1439
Phone
(808) 884-5300
Fax
(808) 884-5300
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3115 HI Primary

Addresses

Primary practice location

54-3885A Akoni Pule Highway
Kapaau, HI 96755-1439

Mailing address

PO Box 1469
Kapaau, HI 96755-1439
Phone (808) 884-5300

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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649227992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1469",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967551439",
            "telephone_number": "808-884-5300",
            "fax_number": "808-884-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54-3885A AKONI PULE HIGHWAY",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967551439",
            "telephone_number": "808-884-5300",
            "fax_number": "808-884-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANSEL",
        "first_name": "MARK",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaau, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.