Active NPI
Andrea Lynne Puglese, LCSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1730508987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-3787
- Practice address
- 1188 Bishop Street
Suite 1106
Honolulu, HI 96813 - Phone
- (908) 578-4476
- Fax
- (808) 532-3323
- NPI assigned
- Apr 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-3787 | HI | Primary |
Addresses
Primary practice location
1188 Bishop Street
Suite 1106
Honolulu, HI 96813
Mailing address
1848 Kahakai Drive
#1803
Honolulu, HI 96814
Phone (908) 578-4476
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-3787 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert a. Wolf, LCSW Inc | Clinical | Past | Accepting new patients |
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.
-
- Clinical Social Worker
- Honolulu, HI
- NPI 1477688083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397520000000",
"number": "1730508987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1848 KAHAKAI DRIVE",
"address_2": "#1803",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "908-578-4476",
"fax_number": "808-532-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 BISHOP STREET",
"address_2": "SUITE 1106",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96813",
"telephone_number": "908-578-4476",
"fax_number": "808-532-3323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLESE",
"first_name": "ANDREA",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-15",
"last_updated": "2014-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-3787",
"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 Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.