Angele Nichele Johnson, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

110017 Issued in TX

Practice address

581 Tinker Rd
Waimanalo, HI 96795-1903

Phone

(808) 427-9150

NPI assigned

Jun 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Angele Nichele Devezin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1942994033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "581 TINKER RD",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951903",
            "telephone_number": "808-427-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "581 TINKER RD",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951903",
            "telephone_number": "808-427-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ANGELE",
        "middle_name": "NICHELE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "110017",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LSW-3419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELE",
            "last_name": "DEVEZIN",
            "middle_name": "NICHELE",
            "credential": "LSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Teralyn Green Hobbs
• David J Hooper
• Christy Lyn Bolibol Inda, M.S., R.D.
• Ryan Takeshi Inouye, D.D.S.
• Nickolas Jakimow
• Anolani Kailio, PHARMD
• Chelsea K Kalama-Kingma, RD
• Shalia Kamakele, LCSW, CSAC
• Jadie Karratti-Abordo
• Victoria Kelleher

• Social Worker in Waimanalo, HI
• Providers in Waimanalo, HI by specialty
• Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2026; 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.