Individual provider Active NPI

Teralyn Green Hobbs

  • Clinical Social Worker
  • Waimanalo, HI
National Provider Identifier
1013418037
Registry record updated Feb 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4300 Issued in HI
Practice address
41-038 Wailea St
Waimanalo, HI 96795-1671
Phone
(808) 200-5059
NPI assigned
Feb 25, 2018
Last updated
Feb 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4300 HI Primary

Addresses

Primary practice location

41-038 Wailea St
Waimanalo, HI 96795-1671

Mailing address

333 Okika St
Honolulu, HI 96818-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180717003790 HI Practitioner - Clinical Social Worker 2264789635 Practice locations: Waipahu, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4300HIMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519516800000",
    "number": "1013418037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 OKIKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968184575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-038 WAILEA ST",
            "city": "WAIMANALO",
            "state": "HI",
            "postal_code": "967951671",
            "telephone_number": "808-200-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBBS",
        "first_name": "TERALYN",
        "middle_name": "GREEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-25",
        "last_updated": "2018-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimanalo, HI

Sources for this page

Verify at the official NPI Registry.