Healthcare Provider Details

I. General information

NPI: 1295642403
Provider Name (Legal Business Name): UAKEA JOSE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3-2600 KAUMUALII HWY STE 1300
LIHUE HI
96766-2022
US

IV. Provider business mailing address

3-2600 KAUMUALII HWY STE 1300
LIHUE HI
96766-2022
US

V. Phone/Fax

Practice location:
  • Phone: 929-430-6856
  • Fax:
Mailing address:
  • Phone: 929-430-6856
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number131170
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: