Gina Baez, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4426 Issued in HI

Practice address

92-1202 Olani St
Kapolei, HI 96707-4265

Phone

(253) 861-7182

NPI assigned

May 27, 2017

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

• Ms. Gina Lima Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imua Heart

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiea, HI
  • NPI 1265119416
  NPD (past)

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

{
    "created_epoch": "1495843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1871021378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-1202 OLANI ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074265",
            "telephone_number": "253-861-7182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-1202 OLANI ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074265",
            "telephone_number": "253-861-7182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAEZ",
        "first_name": "GINA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "LIMA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kellie K Awakuni, PHARMD
• Lisa Nalani Bacareza
• Foeata Baclayon, IBCLC, RN
• Kobi Lynne Badillo
• Celesz-Nicco Baens
• Edward Bagtas, DDS
• Christina Bain
• Braysia Baker
• Kiara Paulette-Peggy Baker
• Lawrence Baker

• Clinical Social Worker in Kapolei, HI
• Providers in Kapolei, 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 Jul 21, 2022; 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.