Shalia Kamakele | |
41-038 Wailea St Ste C Waimanalo HI 96795-1671 | |
(808) 215-9272 | |
(808) 791-8343 |
Full Name | Shalia Kamakele |
---|---|
Speciality | Social Worker |
Location | 41-038 Wailea St Ste C, Waimanalo, Hawaii |
Authorized Official Name and Position | Shalia Kamakele (PSYCHOTHERAPIST) |
Authorized Official Contact | 8082013339 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shalia Kamakele 41-038 Wailea St Ste C Waimanalo HI 96795-1671 Ph: (808) 215-9272 | Shalia Kamakele 41-038 Wailea St Ste C Waimanalo HI 96795-1671 Ph: (808) 215-9272 |
NPI Number | 1164912663 |
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Provider Enumeration Date | 05/10/2018 |
Last Update Date | 10/06/2023 |
Certification Date | 10/06/2023 |
Medicare PECOS PAC ID | 8224386883 |
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Medicare Enrollment ID | O20180730003304 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164912663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 4301 (Hawaii) | Primary |
Provider Name | Shalia K Kamakele |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1902123763 PECOS PAC ID: 4587912142 Enrollment ID: I20180730003466 |
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