Jill H Vasconcellos, MSW

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

75-377 Hualalai Rd
Kailua Kona, HI 96740-9724

Phone

(808) 329-0774

Fax

(808) 329-0776

NPI assigned

Oct 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1790011682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-377 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409724",
            "telephone_number": "808-329-0774",
            "fax_number": "808-329-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-377 HUALALAI RD",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409724",
            "telephone_number": "808-329-0774",
            "fax_number": "808-329-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCONCELLOS",
        "first_name": "JILL",
        "middle_name": "H",
        "name_prefix": "Miss",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Richard Valenzuela, D.C.
• Michelle Van Druff, CNM
• Deborah Vance Beaumont, APRN
• Vanessa Mount, MFT, LMHC, LLC
• Agnes R Vann, LMT
• C Jain Vaughn, LMT
• Megan Cho Venegas, PHARMD
• Cynthia C Ventenilla, NP-C
• Michelle Renee Vergara
• Karina Rebecca Vierra, RBT

• Social Worker in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.