MEDICARE: AKUA CAMPANELLA LCSW

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	SWI.LW.70016361	WA
2	1041C0700X	Clinical Social Worker	122912	CA
3	1041C0700X	Clinical Social Worker	4506	HI
4	1041C0700X	Clinical Social Worker	4909C	AL

General Provider Information

NPI Number	:	1730712795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKUA CAMPANELLA LCSW

Provider Business Mailing Address
First Line	:	1170 NUUANU AVE UNIT 37514
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96837-5622
Country	:	US
Telephone Number	:	808-343-7484
Fax Number	:	808-748-0989

Provider Business Practice Location Address
First Line	:	46-001 KAMEHAMEHA HWY
Second Line	:
City	:	KANEOHE
State	:	HI
Zip	:	96744-3711
Country	:	US
Telephone Number	:	808-343-7484
Fax Number	:

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

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	12/08/2025

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Directions to “ AKUA CAMPANELLA LCSW” Practice Location

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