Donna L Shock, LCSW | |
78-123 Holuakai St, Kailua Kona, HI 96740-2596 | |
(808) 365-2536 | |
Not Available |
Full Name | Donna L Shock |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 78-123 Holuakai St, Kailua Kona, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1053673756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1210 (Alaska) | Secondary |
1041C0700X | Social Worker - Clinical | 3953 (Hawaii) | Primary |
Entity Name | Wellness Partners Hawaii Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609382340 PECOS PAC ID: 4183018559 Enrollment ID: O20220301000359 |
Mailing Address | Practice Location Address |
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Donna L Shock, LCSW 78-123 Holuakai St, Kailua Kona, HI 96740-2596 Ph: (808) 365-2536 | Donna L Shock, LCSW 78-123 Holuakai St, Kailua Kona, HI 96740-2596 Ph: (808) 365-2536 |
Melissa John Manasas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 75-5751 Kuakini Hwy, Kailua Kona, HI 96740 Phone: 808-333-8058 | |
Mr. Daniel Edwards, LCSW, MPA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75-374 Nani Kailua Dr, Kailua Kona, HI 96740 Phone: 808-557-1962 Fax: 808-443-0026 | |
Ms. Amy Wakefield-mcdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 75-5789 Kele Pl, Kailua Kona, HI 96740 Phone: 808-327-2162 Fax: 808-329-1407 | |
Mr. Ted L. Pond Jr., LCSW, CSAC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76-6225 Kuakini Hwy, B-105, Kailua Kona, HI 96740 Phone: 808-238-2932 Fax: 808-327-1809 | |
Kathleen J Gorman, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740 Phone: 808-326-5629 | |
Benita Cunningham, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 74-381 Kealakehe Pkwy, Suite 1, Kailua Kona, HI 96740 Phone: 808-589-1829 Fax: 808-589-2610 |