Active NPI
Andrea Kumura, LCSW
- Clinical Social Worker
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-3247
- Practice address
- 3828A Claudine St
Honolulu, HI 96816 - Phone
- (808) 203-4250
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LW00005796 | WA | |
| Clinical Social Worker | 1041C0700X | LCSW115576 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW-3247 | HI | Primary |
Addresses
Primary practice location
3828A Claudine St
Honolulu, HI 96816
Mailing address
4348 Waialae Ave # 526
Honolulu, HI 96816-5767
Phone (808) 203-4250
Other practice location 1
94-1480 Moaniani St
Waipahu, HI 96797-4632
Phone (808) 432-7600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060927000322 | HI | Practitioner - Clinical Social Worker | 5890790752 |
Reassigns benefits to 2 organizations Practice locations: Honolulu, HI |
| I20250922000522 | CA | Practitioner - Clinical Social Worker | 5890790752 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2826 Winthrop Ave
Carlsbads, CA 92010-7018
5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1121
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW115576 | CA | MD | Clinical Social Worker |
| LCSW-3247 | HI | MD | Clinical Social Worker |
| LW00005796 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan, Inc | Current | Accepting new patients | |
| Andrea Kumura LCSW Acsw LLC | Current | Accepting new patients | |
| Sud Specialty Group - Ca | Clinical | Current | Accepting new patients |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients | |
| Kaiser Foundation Health Plan Inc | Current | Accepting new patients |
Locations
5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182
4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (501) 271-9428
520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295
4348 Waialae Ave
Honolulu, HI 96816
Phone (770) 364-2184
711 Kapiolani Blvd
Honolulu, HI 96813
Phone (808) 432-5312
599 Farrington Hwy
Kapolei, HI 96707
Phone (808) 432-3600
94-1480 Moaniani St
Waipahu, HI 96797
Phone (808) 432-2000
Organizations & group practices 6
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Santa Clara, CA
- NPI 1972138238
CA, Clinical
-
- Adolescent and Children Mental Health Clinic/Center
- Honolulu, HI
- NPI 1780440552
-
- Clinical Medical Laboratory
- Kailua, HI
- NPI 1801801352
-
- Rural Health Clinic/Center
- Kahuku, HI
- NPI 1245773936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699401600000",
"number": "1962467340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4348 WAIALAE AVE # 526",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968165767",
"telephone_number": "808-203-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3828A CLAUDINE ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96816",
"telephone_number": "808-203-4250"
}
],
"practiceLocations": [
{
"address_1": "94-1480 Moaniani St",
"address_purpose": "LOCATION",
"city": "Waipahu",
"state": "HI",
"postal_code": "967974632",
"country_code": "US",
"telephone_number": "808-432-7600",
"fax_number": "808-432-3270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KUMURA",
"first_name": "ANDREA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2023-11-08",
"certification_date": "2023-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LW00005796",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW115576",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-3247",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.