Individual provider Active NPI

Douglas Morikami Halili, M.S.W. L.C.S.W.

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1669725164
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3800 Issued in HI
Practice address
3556 Maunaloa Ave
Honolulu, HI 96816-2268
Phone
(808) 387-5257
NPI assigned
Oct 22, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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 3800 HI Primary

Addresses

Primary practice location

3556 Maunaloa Ave
Honolulu, HI 96816-2268

Mailing address

PO Box 77
Honolulu, HI 96810-0077
Phone (808) 387-5257

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140213000799 HI Practitioner - Clinical Social Worker 9638308729 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1481 S King St
Suite 544
Honolulu, HI 96814-2600
Phone (808) 387-5257

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3800HIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hookoa Counseling Clinical CurrentSince Jan 7, 2013 Accepting new patients

Locations

1481 S King St
Ste 544
Honolulu, HI 96814
Phone (808) 225-4279

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350864000000",
    "number": "1669725164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968100077",
            "telephone_number": "808-387-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3556 MAUNALOA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162268",
            "telephone_number": "808-387-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALILI",
        "first_name": "DOUGLAS",
        "middle_name": "MORIKAMI",
        "name_prefix": "Mr.",
        "credential": "M.S.W.  L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.