Individual provider Active NPI

Eric James Wolf, LCSW

  • Clinical Social Worker
  • Hilo, HI
National Provider Identifier
1760993471
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C010521 Issued in NC
Practice address
80 Pauahi St
Hilo, HI 96720-3065
Phone
(808) 557-9537
NPI assigned
Oct 20, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 C010521 NC Primary

Addresses

Primary practice location

80 Pauahi St
Hilo, HI 96720-3065

Mailing address

PO Box 394
Honokaa, HI 96727-0394

Other practice location 1

31-631 Old Mamalahoa Hwy
Hakalau, HI 96710
Phone (808) 725-3668

Other names 1

  • Eric James Weikart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250729001301 HI Practitioner - Clinical Social Worker 4486161072 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C010521NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Root 2 Rise Cooperative CurrentSince Jun 1, 2025 Accepting new patients
Charlotte Counseling and Consulting, PLLC Clinical Past Accepting new patients

Locations

80 Pauahi St
Ste 101
Hilo, HI 96720
Phone (808) 531-7222

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1760993471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 394",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967270394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PAUAHI ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203065",
            "telephone_number": "808-557-9537"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31-631 Old Mamalahoa Hwy",
            "address_purpose": "LOCATION",
            "city": "Hakalau",
            "state": "HI",
            "postal_code": "96710",
            "country_code": "US",
            "telephone_number": "808-725-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-10-20",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "WEIKART",
            "middle_name": "JAMES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.