Kelsey S Manglallan, LCSW

Individual provider Active NPI Clinical Social Worker · Kula, HI

NPI 1871473587 · NPPES record last updated Jan 7, 2026

Key facts

NPI
1871473587
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW-5310 (HI)
Practice address
100 Ihe PL Unit B
Kula, HI 96790-8903
Phone
(808) 724-1634
NPI assigned
Sep 3, 2025
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LCSW-5310HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haleakala Counseling Collective LLC Clinical Current
since Sep 8, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-5310 HI Yes

Addresses

Primary practice location

100 Ihe PL Unit B
Kula, HI 96790-8903

Mailing address

100 Ihe PL Unit B
Kula, HI 96790-8903
Phone (808) 724-1634

Other providers in Kula, HI

All providers in Kula, HI · Clinical Social Worker in Hawaii

Sources for this page

Verify at the official NPI Registry.