Individual provider Active NPI

Kira Yah Fun Lee, LCSW

  • Clinical Social Worker
  • Kailua, HI
National Provider Identifier
1891454534
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4748 Issued in HI
Practice address
970 N Kalaheo Ave Ste A216
Kailua, HI 96734-1869
Phone
(808) 387-4355
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 4748 HI Primary

Addresses

Primary practice location

970 N Kalaheo Ave Ste A216
Kailua, HI 96734-1869

Mailing address

2102 Kilauea Ave
Hilo, HI 96720-5235
Phone (808) 352-7227

Other practice location 1

1374 Nuuanu Ave
Honolulu, HI 96817-4032
Phone (808) 691-4352

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4748HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Queen'S Medical Center CurrentSince Dec 1, 2021 Accepting new patients
The Queens Medical Center CurrentSince Dec 1, 2021 Accepting new patients

Locations

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1374 Nuuanu Ave
Honolulu, HI 96817
Phone (808) 547-4908

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": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1891454534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 KILAUEA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205235",
            "telephone_number": "808-352-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N KALAHEO AVE STE A216",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341869",
            "telephone_number": "808-387-4355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1374 Nuuanu Ave",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968174032",
            "country_code": "US",
            "telephone_number": "808-691-4352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KIRA",
        "middle_name": "YAH FUN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.