1730724345 NPI number — MRS. MAISA LEILANI ZIEGLER LCSW

Table of content: DR. PATRICIA M VISNESKY M.D. (NPI 1770558942)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730724345 NPI number — MRS. MAISA LEILANI ZIEGLER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZIEGLER
Provider First Name:
MAISA
Provider Middle Name:
LEILANI
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730724345
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/28/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HO'OMAU THERAPY, LLC 41-038 WAILEA STREET C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WAIMANALO
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96795
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
44-403 KANEOHE BAY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KANEOHE
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96744-2611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-429-4213
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/07/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: LCSW-4729 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 12157401 . This is a "AWSB" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




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