Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Donna L Shock, LCSW

Individual provider Clinical Social Worker · NPI 1053673756

Donna L Shock, LCSW is a Clinical Social Worker in Kailua Kona, Hawaii. Qualified in 2010, 16 years ago. Practices with Wellness Partners Hawaii Inc, a 15-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Alaska and Hawaii.

Years since qualifying
16
Licensed in
AK, HI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

78-123 Holuakai St
Kailua Kona, HI 96740-2596
Phone: (808) 365-2536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3953 (HI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1210 (AK)

Record details

NPI number1053673756
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJune 9, 2012
Last updated in NPPESMay 14, 2022
Certification dateMay 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Wellness Partners Hawaii Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kailua Kona