1477688083 NPI number — ROBERT A. WOLF, LCSW INC

Table of content: (NPI 1477688083)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477688083 NPI number — ROBERT A. WOLF, LCSW INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROBERT A. WOLF, LCSW INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

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:
1477688083
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/14/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1188 BISHOP ST
Provider Second Line Business Mailing Address:
SUITE 1106
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96813-3301
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-587-0242
Provider Business Mailing Address Fax Number:
808-532-3323

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1188 BISHOP ST
Provider Second Line Business Practice Location Address:
SUITE 1106
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-3301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-587-0242
Provider Business Practice Location Address Fax Number:
808-532-3323
Provider Enumeration Date:
02/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WOLF
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
A
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
808-587-0242

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCSW-3201 , 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: 00A0249084 . This is a "HMSA- 1188 BISHOP ST." identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 073347972 . This is a "UHA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 073347972 . This is a "TRICARE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 56100002 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0000249086 . This is a "HMSA- 314 ULUNIU ST." identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 073347972 . This is a "HMAA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 56200001 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 073347972 . This is a "ALOHA CARE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com