STACEY KRENELKA (NPI# 1225188618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225188618 |
| Entity Type | Individual |
| Full Name | STACEY KRENELKA |
| Credential | LCSW |
| Practice Address |
1881 Nani St Wailuku HI 96793-1811 |
| Practice Telephone | 8088717772 |
| Practice Fax Number | 8088724030 |
| Mailing Telephone | 8088717772 |
| Mailing Fax Number | 8088724030 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2009-12-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW3106 | HI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 071290-01 | 05 |
| Street Address |
1881 NANI ST |
| City | WAILUKU |
| State | HI |
| Zip Code | 96793-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437136769 | Emilie Sumida | Dentist | 1881 Nani St, Wailuku, HI 96793-1811 | 2005-12-28 |
| 1437758190 | Community Clinic of Maui, Inc. | Clinic/Center | 1881 Nani St, Wailuku, HI 96793-1811 | 2020-10-22 |
| 1952925125 | Joseph Irvin Wright Jr. | Student in an Organized Health Care Education/Training Program | 1881 Nani St, Wailuku, HI 96793-1811 | 2020-06-03 |
| 1689202160 | Jason Lee | Student in an Organized Health Care Education/Training Program | 1881 Nani St, Wailuku, HI 96793-1811 | 2020-03-30 |
| 1063973949 | Jose Luis Villa Jr. | Student in an Organized Health Care Education/Training Program | 1881 Nani St, Wailuku, HI 96793-1811 | 2019-03-25 |
| 1013403377 | Community Clinic of Maui, Inc. | Pharmacy | 1881 Nani St, Wailuku, HI 96793-1811 | 2018-07-10 |
| 1780176784 | David Kirsch | Student in an Organized Health Care Education/Training Program | 1881 Nani St, Wailuku, HI 96793-1811 | 2018-06-05 |
| 1104317122 | Renee Sattler | Dietitian, Registered | 1881 Nani St, Wailuku, HI 96793-1811 | 2018-05-24 |
| 1740720291 | Xu Yao | Student in an Organized Health Care Education/Training Program | 1881 Nani St, Wailuku, HI 96793-1811 | 2017-03-02 |
| 1154872273 | Heather Milovina | Advanced Practice Midwife | 1881 Nani St, Wailuku, HI 96793-1811 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384701 | Laura Covey | Massage Therapist | Wailuku Community Acupuncture, 33 Central Ave, Wailuku, HI 96793 | 2020-07-24 |
| 1750902839 | Massage Therapy and Wellness of Hawai, LLC | Massage Therapist | Massage Therapy and Wellness of Hawaii, 219 Hookahi St Suite 108, Wailuku, HI 96793 | 2020-04-30 |
| 1790329084 | Milba Rojas Melchor | Technician | 932 Wailupe Drive, Wailuku, HI 96793 | 2019-10-30 |
| 1669973863 | Chad Adolpho | Massage Therapist | 95 Mahalani Street, Room 21, Wailuku, HI 96793 | 2018-02-22 |
| 1548785520 | Hookaulike Wellness LLC | Registered Nurse | 720 Kealii Drive, Wailuku, HI 96793 | 2017-08-10 |
| 1932585072 | Back & Body Clinic of Hi, LLC | Massage Therapist | 81 Central Avenue, Wailuku, HI 96793 | 2015-07-30 |
| 1558765719 | Maui Cancer Clinic, Inc. | Clinic/Center | 24 North Church Street Suite 308, Wailuku, HI 96793 | 2014-10-17 |
| 1609275262 | Maui Memorial Medical Center | General Acute Care Hospital | 85 Maui Lani Parkway, Wailuku, HI 96793 | 2014-08-20 |
| 1558780072 | Mental Health Kokua | Community/Behavioral Health | 503 -a Ua Place, Wailuku, HI 96793 | 2014-04-11 |
| 1538584545 | Mental Health Kokua | Assisted Living Facility | 503 Ua Pl, Iao Valley, Wailuku, Maui, HI 96793 | 2014-02-27 |
| Find all providers in zip 96793 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184014 | Arielle Nash | Social Worker | 2062 W Vineyard St, Wailuku, HI 96793-1698 | 2019-06-21 |
| 1659844140 | Tapler Counseling LLC | Social Worker | 270 Hookahi St Ste 206, Wailuku, HI 96793-1466 | 2019-01-07 |
| 1073099628 | Danielle Flocco | Social Worker | 221 Mahalani St # A, Wailuku, HI 96793-2526 | 2018-07-17 |
| 1235639154 | Maui Behavioral Health Services, Inc. | Social Worker | 270 Hookahi St Ste 212, Wailuku, HI 96793-1466 | 2018-02-16 |
| 1619371184 | Oudlay Tom | Social Worker | 1959 Kaohu St, Wailuku, HI 96793-2311 | 2014-10-13 |
| 1841436573 | Eleanor V. Himes | Social Worker | 1356 Kilou St, Wailuku, HI 96793-9753 | 2008-12-30 |
| 1528101276 | Beverly Ann Lundquist | Social Worker | 1787 Wili Pa Loop, Suite No. 8, Wailuku, HI 96793-1280 | 2007-02-14 |
| 1598803900 | Tom Kane | Social Worker | 2599 Main St, Wailuku, HI 96793-1663 | 2007-02-01 |
| 1417000654 | Erean Aba Larry-fiakpuyi | Social Worker | 1855 Main Street, Suite 306, Wailuku, HI 95793 | 2007-01-19 |
| 1215089388 | Jeanette Christine Evans | Social Worker | 55 N Church St Ste 2, Wailuku, HI 96793-1684 | 2007-01-17 |
| Find all providers in WAILUKU | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.