Active NPI
Mark Moeai, LCSW
- Clinical Social Worker
- Laie, HI
National Provider Identifier
1962990614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4238
- Practice address
- 55-479 Naniloa Loop # a
Laie, HI 96762-1126 - Phone
- (808) 365-9361
- NPI assigned
- Apr 27, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6152802-3501 | UT | |
| Clinical Social Worker | 1041C0700X | 4238 | HI | Primary |
Addresses
Primary practice location
55-479 Naniloa Loop # a
Laie, HI 96762-1126
Mailing address
55-479 Naniloa Loop # a
Laie, HI 96762-1126
Phone (808) 365-9361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4238 | HI | MD | Clinical Social Worker |
| 6152802-3501 | UT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1524787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524787200000",
"number": "1962990614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55-479 NANILOA LOOP # A",
"city": "LAIE",
"state": "HI",
"postal_code": "967621126",
"telephone_number": "808-365-9361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55-479 NANILOA LOOP # A",
"city": "LAIE",
"state": "HI",
"postal_code": "967621126",
"telephone_number": "808-365-9361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOEAI",
"first_name": "MARK",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-27",
"last_updated": "2018-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "6152802-3501",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "4238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laie, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.