MEDICARE: JULIE ANNE FELIX BACARRO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LCSW-5468	HI

General Provider Information

NPI Number	:	1295682540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANNE FELIX BACARRO

Provider Business Mailing Address
First Line	:	1550 RYCROFT ST APT 207
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-2440
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	99-080 KAUHALE ST STE C20
Second Line	:
City	:	AIEA
State	:	HI
Zip	:	96701-4114
Country	:	US
Telephone Number	:	808-342-1683
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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