Leilani Ann Maxera, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-4701 Issued in HI

Practice address

908 S J St
Tacoma, WA 98405-4110

Phone

(808) 353-8554

NPI assigned

Nov 11, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Lani Ann Riccobuono Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Kaipuokaualoku, LLC

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1043955040
  NPD Authorized official

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1912663170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2265 PALOLO AVE APT B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163147",
            "telephone_number": "808-353-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 S J ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054110",
            "telephone_number": "808-353-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXERA",
        "first_name": "LEILANI",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LANI",
            "last_name": "RICCOBUONO",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maverick DC PLLC
• Stephanie Mavin, DNP, ARNP, CPNP-PC
• Colleen G Mawby, PA-C
• Shamsa Z. Mawjee, M.D.
• Andrew Maxam, DO
• Maria Jewel Maxey
• Priscilla Elnora Maxey
• Maxim
• Maxim Healthcare Services
• Maxim Healthcare Services

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.