Mary H Dodd, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4063 Issued in HI

Practice address

753 Kaipii St
Kailua, HI 96734-2033

Phone

(808) 936-0801

NPI assigned

Mar 19, 2018

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

Other names 1

• Mariah H Dodd Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 13, 2025 through Feb 13, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Journey-Counseling, Coaching & Consulting

  • Clinical Social Worker
  • Kailua, HI
  • NPI 1760231377
  NPD

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521417600000",
    "number": "1811491558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 KAIPII ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342033",
            "telephone_number": "808-936-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 KAIPII ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342033",
            "telephone_number": "808-936-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "MARY",
        "middle_name": "H",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIAH",
            "last_name": "DODD",
            "middle_name": "H",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachel Distefano, LSW
• Anna Christine Dixon, LPC, LCPC
• Linda H Dixon, M.D.
• John Doan, D.O.
• Doc'S Shoes, Inc.
• Kerian Dodds, M.D.
• Jennifer Lynn Doerrige, M.D.
• Madison Doherty
• Britt Dolbeck, LMHC
• Stephanie S Domingo, P.T.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.