Individual provider Active NPI

Rachael Hawkins, LCSW

  • Clinical Social Worker
  • Kailua Kona, HI
National Provider Identifier
1841360906
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3864 Issued in HI
Practice address
75-127 Lunapule Rd Ste 7C
Kailua Kona, HI 96740-2119
Phone
(408) 320-7278
NPI assigned
Nov 8, 2006
Last updated
Apr 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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 3864 HI Primary

Addresses

Primary practice location

75-127 Lunapule Rd Ste 7C
Kailua Kona, HI 96740-2119

Mailing address

PO Box 3064
Kailua Kona, HI 96745-3064
Phone (088) 320-7278

Other identifiers 2

IdentifierTypeStateIssuer
744070MedicaidHI
4909OtherCACOUNTY ID

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
I20130820000720 HI Practitioner - Clinical Social Worker 4284876350 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

75 -127 Lunapule Rd
Suite 7C
Kailua Kona, HI 96740-2119
Phone (408) 320-7278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3864HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Roots Therapy LLC Clinical CurrentSince Dec 28, 2023 Accepting new patients

Locations

75-127 Lunapule Rd
Ste 7C
Kailua Kona, HI 96740
Phone (408) 320-7278

Interoperability endpoints

  • Direct secure messaging: rachael.hawkins@hawaiihie.medicity.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1841360906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3064",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967453064",
            "telephone_number": "088-320-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-127 LUNAPULE RD STE 7C",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402119",
            "telephone_number": "408-320-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "RACHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "744070",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY ID",
            "identifier": "4909",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.