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

Mr. Michael A Dattola, LCSW

Individual provider Clinical Social Worker · NPI 1366458291

Mr. Michael A Dattola, LCSW is a Clinical Social Worker in Haiku, Hawaii. Qualified in 1988, 38 years ago. Accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
38
Licensed in
HI
In the registry since
2006
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

1090 E Kuiaha Rd
Haiku, HI 96708-5535
Phone: (808) 707-7219
Fax: (808) 649-2229
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3420 (HI)

Record details

NPI number1366458291
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJuly 31, 2006
Last updated in NPPESJune 10, 2023
Certification dateJune 10, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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