Individual provider Active NPI

Kathryn T Yort, LCSW

  • Clinical Social Worker
  • Kealakekua, HI
National Provider Identifier
1992285696
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-5230-0 Issued in HI
Practice address
81-6587 Mamalahoa Hwy
BLDG. C
Kealakekua, HI 96750
Phone
(808) 323-2664
Fax
(808) 323-2999
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X LCSW-5230-0 HI Primary

Addresses

Primary practice location

81-6587 Mamalahoa Hwy
BLDG. C
Kealakekua, HI 96750

Mailing address

PO Box 6335
Kamuela, HI 96743-6335

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
I20250107004148 HI Practitioner - Clinical Social Worker 5698203412 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-5230-0HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Partners Hawaii Inc CurrentSince Jan 1, 2025 Accepting new patients
Wellness Partners Hawaii PHP and Iop, LLC CurrentSince Jun 30, 2024 Accepting new patients

Locations

850 W Hind Dr
Ste 116
Honolulu, HI 96821
Phone (808) 379-6656

6700 Kalanianaole Hwy
Ste 201
Honolulu, HI 96825
Phone (808) 264-4915

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1992285696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6335",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967436335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81-6587 MAMALAHOA HWY",
            "address_2": "BLDG. C",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "96750",
            "telephone_number": "808-323-2664",
            "fax_number": "808-323-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YORT",
        "first_name": "KATHRYN",
        "middle_name": "T",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5230-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.