Active NPI
Dae Helena Leckie, L.C.S.W.
- Clinical Social Worker
- Makawao, HI
National Provider Identifier
1992840987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3251
- Practice address
- 324 Liliuokalani St
Makawao, HI 96768-8633 - Phone
- (808) 573-6937
- Fax
- (808) 573-6937
- NPI assigned
- Feb 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | LCS10458 | CA | |
| Clinical Social Worker | 1041C0700X | 3251 | HI | Primary |
Addresses
Primary practice location
324 Liliuokalani St
Makawao, HI 96768-8633
Mailing address
324 Liliuokalani St
Makawao, HI 96768-8633
Phone (808) 573-6937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000259440 | Other | HI | HMSA PROVIDER NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS10458 | CA | MD | Clinical Social Worker |
| 3251 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992840987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 LILIUOKALANI ST",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688633",
"telephone_number": "808-573-6937",
"fax_number": "808-573-6937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 LILIUOKALANI ST",
"city": "MAKAWAO",
"state": "HI",
"postal_code": "967688633",
"telephone_number": "808-573-6937",
"fax_number": "808-573-6937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LECKIE",
"first_name": "DAE",
"middle_name": "HELENA",
"name_prefix": "Mrs.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS10458",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3251",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA PROVIDER NUMBER",
"identifier": "0000259440",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Makawao, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.