Individual provider Active NPI

Joanna Mullikin, LCSW

  • Clinical Social Worker
  • Wailuku, HI
National Provider Identifier
1891033502
Registry record updated Jun 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4140 Issued in HI
Practice address
71 Kopi LN Apt 103
Wailuku, HI 96793-2064
Phone
(773) 732-5798
NPI assigned
Jan 30, 2013
Reactivated
May 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2026

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 4140 HI Primary

Addresses

Primary practice location

71 Kopi LN Apt 103
Wailuku, HI 96793-2064

Mailing address

349 Hanakai St Ste C
Kahului, HI 96732-3414
Phone (808) 269-1016

Other identifiers 1

IdentifierTypeStateIssuer
628886MedicaidHI

Medicare participation

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

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1190 Waianuenue Ave
Hilo, HI 96720-2020

1190 Waianuenue Ave
Hilo, HI 96720-2094

1885 FM
2673 Unit 146
Canyon Lake, TX 78133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4140HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aps Healthcare Past Accepting new patients
Aps Health Care Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1891033502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 HANAKAI ST STE C",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967323414",
            "telephone_number": "808-269-1016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 KOPI LN APT 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932064",
            "telephone_number": "773-732-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULLIKIN",
        "first_name": "JOANNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-30",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "deactivation_date": "2026-03-16",
        "reactivation_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "628886",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.