Paul Culver, LCSW

Individual provider Active NPI Clinical Social Worker · Kailua, HI

NPI 1922508175 · NPPES record last updated Sep 14, 2020

Key facts

NPI
1922508175
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
LCSW-4583 (HI)
Practice address
767 Kailua Rd Ste 202
Kailua, HI 96734-2842
Phone
(808) 451-3960
NPI assigned
Feb 14, 2018
Sex
Male
Sole proprietor
Yes

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-4583HIMDClinical Social Worker
253146KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thriving Mental Health LLC Past
since Sep 20, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 253146 KY
Clinical Social Worker 1041C0700X LCSW-4583 HI Yes

Addresses

Primary practice location

767 Kailua Rd Ste 202
Kailua, HI 96734-2842

Mailing address

497 Kailua Rd Apt 2201
Kailua, HI 96734-2915
Phone (410) 693-0249

Other providers in Kailua, HI

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

Sources for this page

Verify at the official NPI Registry.