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MRS. JESSICA JOHANNA NALANI WONG LCSW
NPI 1629622576
Social Worker - Clinical in Waianae, HI

Active since July 29, 2019PECOS EnrolledAccepts Medicare Assignment
87-135 PUALEILANI ST, WAIANAE, HI 96792(808) 207-0637(626) 565-2087 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2024, Aug 4, 2021, Jul 29, 2019 (3 updates tracked since 2019).

About Mrs. Jessica Johanna Nalani Wong Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JESSICA JOHANNA NALANI WONG LCSW (NPI 1629622576) is an individual clinical provider in Waianae, Hawaii, licensed in Hawaii (LCSW-4450) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1629622576
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. JESSICA JOHANNA NALANI WONGCredential: LCSW
Location Address87-135 PUALEILANI STWaianae, HI 96792-3697
Mailing AddressPo Box 13056Aiea, HI 96701-8556 · (808) 207-0637
Phone(808) 207-0637
Fax(626) 565-2087
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 29, 2019
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1629622576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in HI · LCSW-4450
Definition
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.
87-135 PUALEILANI ST, Waianae, HI 96792
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Other Identifiers 1

Medicaid800221HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jessica Johanna Nalani Wong Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002234093
PECOS Enrollment IDI20200908001287
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jessica Wong reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Catholic Charities Hawaii
22 mi
Marriage & Family Therapist
1822 KEEAUMOKU ST
Honolulu, HI 96822
  • Reassigned Medicare billing, Hawaii enrollment
  • 6 clinicians in this Medicare group
NPI 1508134107 (808) 527-4636
Davine Counseling Services, LLC
Community/Behavioral Health
590 FARRINGTON HIGHWAY #524-132
Kapolei, HI 96707
  • Reassigned Medicare billing, Hawaii enrollment
NPI 1316601800 (808) 207-0637

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.53 – $180.05
Typical copayment $0.00 (range $15.13 – $45.01)
Most-billed visit code NA
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$118.60 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Wong's NPI number?

The NPI number for Jessica Wong is 1629622576. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Jessica Wong located?

Jessica Wong practices at 87-135 Pualeilani St, Waianae, HI 96792. The listed phone number is (808) 207-0637.

What is Jessica Wong's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Wong enrolled in Medicare?

Yes. Jessica Wong is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jessica Wong's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Wong reassigns Medicare benefits to 2 organizations: Catholic Charities Hawaii (Honolulu, HI) and Davine Counseling Services, LLC (Kapolei, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Wong's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Wong was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.