Individual provider Active NPI

Joelle Branch, LCSW

  • Clinical Social Worker
  • Mililani, HI
National Provider Identifier
1942725940
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4198 Issued in HI
Practice address
95-390 Kuahelani Ave # 3Ac-1128
Mililani, HI 96789-1192
Phone
(808) 203-8105
NPI assigned
Aug 10, 2017
Last updated
Mar 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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 4198 HI Primary

Addresses

Primary practice location

95-390 Kuahelani Ave # 3Ac-1128
Mililani, HI 96789-1192

Mailing address

95-390 Kuahelani Ave # 3Ac-1128
Mililani, HI 96789-1192
Phone (808) 203-8105

Other identifiers 1

IdentifierTypeStateIssuer
14081386OtherCAQH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200610000812 HI Practitioner - Clinical Social Worker 0941621346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2176 Lauwiliwili St
Suite 1
Kapolei, HI 96707-1882
Phone (808) 772-8258

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4198HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
DSM Therapeutic and Wellness Center LLC CurrentSince Mar 6, 2020 Accepting new patients
Kamahele Bernard LLC Clinical CurrentSince Aug 25, 2022 Accepting new patients

Locations

2176 Lauwiliwili St
Ste 1
Kapolei, HI 96707
Phone (808) 202-0919

95-390 Kuahelani Ave
Ste 3AC
Mililani, HI 96789
Phone (808) 201-9273

95-390 Kuahelani Ave
Ste 3AC1128
Mililani, HI 96789

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1942725940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE # 3AC-1128",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-203-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-390 KUAHELANI AVE # 3AC-1128",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967891192",
            "telephone_number": "808-203-8105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANCH",
        "first_name": "JOELLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14081386",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.