Kathleen M. Bogdan, M.S.
Individual provider Active NPI Social Worker · Lihue, HI
NPI 1811148489 · NPPES record last updated Sep 29, 2015
Key facts
- NPI
- 1811148489
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 4370 Kukui Grove Street
Suite 3-211
Lihue, HI 96766 - Phone
- (808) 274-3190
- Fax
- (808) 274-3194
- NPI assigned
- Oct 1, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Hawaii Department of Health | Past | Accepting new patients | |
| State of Hawaii Department of Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
4370 Kukui Grove Street
Suite 3-211
Lihue, HI 96766
Mailing address
4370 Kukui Grove Street
Suite 3-211
Lihue, HI 96766
Phone (808) 274-3190
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 539372-01 | Medicaid | HI |
Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2015. 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.