Individual provider Active NPI

Tiffany Fuerte, LCSW

  • Clinical Social Worker
  • Hilo, HI
National Provider Identifier
1033995824
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-5534 Issued in HI
Practice address
1247 Kinoole St
Hilo, HI 96720-4127
Phone
(808) 498-3776
NPI assigned
Sep 6, 2023
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW-3139-0 HI
Clinical Social Worker 1041C0700X LCSW-5534 HI Primary

Addresses

Primary practice location

1247 Kinoole St
Hilo, HI 96720-4127

Mailing address

1247 Kinoole St
Hilo, HI 96720-4127
Phone (808) 498-3776

Other practice location 1

16-179 Melekahiwa St
Keaau, HI 96749-8017
Phone (808) 969-9994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW-3139-0HIMDSocial Worker
LCSW-5534HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1033995824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204127",
            "telephone_number": "808-498-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1247 KINOOLE ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204127",
            "telephone_number": "808-498-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16-179 Melekahiwa St",
            "address_purpose": "LOCATION",
            "city": "Keaau",
            "state": "HI",
            "postal_code": "967498017",
            "country_code": "US",
            "telephone_number": "808-969-9994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUERTE",
        "first_name": "TIFFANY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "LSW-3139-0",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.