Organization Active NPI

In Grace Services, LLC

  • Clinical Social Worker
  • Kaneohe, HI
National Provider Identifier
1780258251
Registry record updated May 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
IN GRACE SERVICES, LLC
Practice address
46-411 Kahuhipa St
Kaneohe, HI 96744-3510
Phone
(808) 330-0430
NPI assigned
May 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2021

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

Authorized official

Name
Brooke Kemsley Jacobsen, LCSWNPI 1255763231
Title
Owner
Phone
(808) 330-0430

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

46-411 Kahuhipa St
Kaneohe, HI 96744-3510

Mailing address

48-400 S. Waiahole Valley Rd.
Kaneohe, HI 96744
Phone (808) 330-0430

Other names 1

  • Brooke Jacobsen Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1780258251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48-400 S. WAIAHOLE VALLEY RD.",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "96744",
            "telephone_number": "808-330-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-411 KAHUHIPA ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443510",
            "telephone_number": "808-330-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN GRACE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "JACOBSEN",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_middle_name": "KEMSLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-330-0430",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooke Jacobsen",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.