Individual provider Active NPI

Brenda Joan Levesque, MSW

  • Clinical Social Worker
  • Ninole, HI
National Provider Identifier
1679711162
Registry record updated Jan 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3917 Issued in HI
Practice address
32-77 Piha Kahuku Rd
Ninole, HI 96773-0057
Phone
(808) 854-5540
NPI assigned
Jan 22, 2009
Last updated
Jan 12, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111874 MA
Clinical Social Worker 1041C0700X 3917 HI Primary

Addresses

Primary practice location

32-77 Piha Kahuku Rd
Ninole, HI 96773-0057

Mailing address

PO Box 57
Ninole, HI 96773-0057
Phone (808) 854-5540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111874MAMDSocial Worker
3917HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wai Kahe Counseling, LLC CurrentSince Aug 1, 2021 Accepting new patients

Locations

305 Wailuku Dr
Ste 5
Hilo, HI 96720
Phone (808) 238-0270

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484179200000",
    "number": "1679711162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "NINOLE",
            "state": "HI",
            "postal_code": "967730057",
            "telephone_number": "808-854-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32-77 PIHA KAHUKU RD",
            "city": "NINOLE",
            "state": "HI",
            "postal_code": "967730057",
            "telephone_number": "808-854-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVESQUE",
        "first_name": "BRENDA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2017-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "111874",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ninole, HI

Sources for this page

Verify at the official NPI Registry.