Khwanhatai Achuka, LCSW
Individual provider Active NPI Clinical Social Worker · Honolulu, HI
NPI 1760079685 · NPPES record last updated Mar 21, 2025
Key facts
- NPI
- 1760079685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5319 (HI)
- Practice address
- 775 Kinalau PL
Honolulu, HI 96813-2656 - Phone
- (510) 613-0330
- NPI assigned
- Dec 26, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5319 | HI | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5319 | HI | Yes |
Addresses
Primary practice location
775 Kinalau PL
Honolulu, HI 96813-2656
Mailing address
775 Kinalau PL
Honolulu, HI 96813-2656
Other names
- Ploy Kongkapetch
Other providers in Honolulu, HI
- Ace Optical LLC
- Logan Acebo
- Alexander Joseph Acevedo
- Maria Ferrer Achaval
- Achieving Stars Hi LLC
- Roman Anthony S. Acierto
- Carina Mae Acio
- Jessica Jung Ackerman
- Mary Jill Ackerman
- Marvin Wilson Acklin
All providers in Honolulu, HI · Clinical Social Worker in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.