Active NPI
Juliet Miyagishima, LCSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1073023693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3931
- Practice address
- 459 Patterson Rd
Honolulu, HI 96819-1522 - Phone
- (415) 999-7591
- NPI assigned
- Oct 10, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3931 | HI | Primary |
Addresses
Primary practice location
459 Patterson Rd
Honolulu, HI 96819-1522
Mailing address
2 S Park
Universal City, TX 78148-5478
Other practice location 1
2 S Park
Universal City, TX 78148-5478
Phone (415) 999-7591
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3931 | Other | HI | ASWB |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3931 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1073023693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 S PARK",
"city": "UNIVERSAL CITY",
"state": "TX",
"postal_code": "781485478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "459 PATTERSON RD",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191522",
"telephone_number": "415-999-7591"
}
],
"practiceLocations": [
{
"address_1": "2 S Park",
"address_purpose": "LOCATION",
"city": "Universal City",
"state": "TX",
"postal_code": "781485478",
"country_code": "US",
"telephone_number": "415-999-7591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MIYAGISHIMA",
"first_name": "JULIET",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-10",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3931",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASWB",
"identifier": "3931",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.