Individual provider Active NPI

Gretchen S. Wigton, LCSW

  • Clinical Social Worker
  • Kealakekua, HI
National Provider Identifier
1740342419
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW - 3229 Issued in HI
Practice address
79-1020 Haukapila St
Kealakekua, HI 96750-7922
Phone
(808) 322-4818
Fax
(808) 322-4817
NPI assigned
Dec 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCSW - 3229 HI Primary

Addresses

Primary practice location

79-1020 Haukapila St
Kealakekua, HI 96750-7922

Mailing address

74-5037 Hanahanai Loop
Kailua Kona, HI 96740-1538
Phone (808) 322-4818

Other identifiers 3

IdentifierTypeStateIssuer
0000241265OtherHIHMSA
256640OtherHIALOHA CARE
0000256640MedicaidHI

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 - 3229HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740342419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74-5037 HANAHANAI LOOP",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401538",
            "telephone_number": "808-322-4818",
            "fax_number": "808-322-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-1020 HAUKAPILA ST",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507922",
            "telephone_number": "808-322-4818",
            "fax_number": "808-322-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGTON",
        "first_name": "GRETCHEN",
        "middle_name": "S.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW - 3229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000241265",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "256640",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000256640",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.