KIMBERLY JD IESE (MSW, LCSW) – Clinical Social Worker, NPI 1285824573

KIMBERLY JD IESE (MSW, LCSW) is a healthcare provider. based in Honolulu, Hawaii. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 7339-123 (WI). The NPI Number for KIMBERLY JD IESE (MSW, LCSW) is 1285824573

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KIMBERLY JD IESE (MSW, LCSW)
NPI
1285824573
Phone
(808) 777-4000
Address
500 ALA MOANA BLVD STE 6D
Enumeration Date
1 August 2007
Last Update Date
10 June 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8083796656
Graduation Year
2003 (23 years ago)
PAC ID
8123107414
Group Practice PAC ID
4183018559
Professional Enrollment ID
I20200626002099
Address ID
HI968251279HO6700XHWYX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for KIMBERLY JD IESE (MSW, LCSW)

  • Ala Moana Boulevard, Ala Moana, Honolulu, Honolulu County, Hawaii, 96841, United States

    HONOLULU, HI 968134984

    Phone: (808) 777-4000

    Fax: (808) 447-0571

    Type: Mailing

  • 1126 S. 70th Street

    Suite S-507

    West Allis, WI 53214

    Phone: (414) 727-2789

    Fax: (414) 476-8695

    Type: Location

  • 321 N Kuakini St Ste 201

    Honolulu, HI 968172399

    Phone: (808) 777-4000

    Fax: (808) 447-0571

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-06-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200626002099IClinical Social WorkerHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour3513$0
View full utilization report →

Insurance plans in this area (ZIP 96813)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4183018559View full group profile
NameSpecialtyState
Clinical Social WorkerHI
Clinical Social WorkerHI
Clinical Social WorkerHI
Clinical Social WorkerHI
Clinical Social WorkerNY
Nurse PractitionerHI
Nurse PractitionerHI
Clinical Social WorkerHI
Clinical Social WorkerHI
Clinical Social WorkerHI

Reviews

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Frequently asked questions

Can I use this page to confirm KIMBERLY JD IESE (MSW, LCSW)'s NPI?
Yes. KIMBERLY JD IESE (MSW, LCSW) is listed with NPI 1285824573 in the public NPI dataset.
Can I rely on KIMBERLY JD IESE (MSW, LCSW) being an active provider?
As of the registry snapshot, KIMBERLY JD IESE (MSW, LCSW) is marked active.
What taxonomy line describes KIMBERLY JD IESE (MSW, LCSW)?
For research purposes, treat KIMBERLY JD IESE (MSW, LCSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where is KIMBERLY JD IESE (MSW, LCSW) based?
KIMBERLY JD IESE (MSW, LCSW) is tied to Honolulu, Hawaii in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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