Individual provider Active NPI

Stanley Edward Wipfli

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1730337346
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4787 Issued in HI
Practice address
3030 Pualei Cir Apt 112
Honolulu, HI 96815-4928
Phone
(510) 981-9494
NPI assigned
Sep 8, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L14122 OR
Clinical Social Worker 1041C0700X LCSW-23044 AZ
Clinical Social Worker 1041C0700X 83746 CA
Clinical Social Worker 1041C0700X LCSW-4787 HI Primary

Addresses

Primary practice location

3030 Pualei Cir Apt 112
Honolulu, HI 96815-4928

Mailing address

3030 Pualei Cir Apt 112
Honolulu, HI 96815-4928
Phone (510) 981-9494

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

State licenses

LicenseStateTypeSpecialty
LCSW-23044AZMDClinical Social Worker
LCSW-4787HIMDClinical Social Worker
L14122ORMDClinical Social Worker
83746CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1220832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752192000000",
    "number": "1730337346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 PUALEI CIR APT 112",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154928",
            "telephone_number": "510-981-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 PUALEI CIR APT 112",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154928",
            "telephone_number": "510-981-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPFLI",
        "first_name": "STANLEY",
        "middle_name": "EDWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-08",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L14122",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-23044",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "83746",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.