Individual provider Active NPI

Terry Ann Kaniaupio, LCSW

  • Clinical Social Worker
  • Kaneohe, HI
National Provider Identifier
1104882398
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-3193 Issued in HI
Practice address
45-955 Kamehameha Hwy Ste 401
Kaneohe, HI 96744-3222
Phone
(808) 222-2729
Fax
(808) 247-4891
NPI assigned
Apr 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X LCSW-3193 HI Primary
Clinical Social Worker 1041C0700X LCSW#3193 HI

Addresses

Primary practice location

45-955 Kamehameha Hwy Ste 401
Kaneohe, HI 96744-3222

Mailing address

45-686 Halemuku Way
Kaneohe, HI 96744-3163
Phone (808) 222-2729

Other practice location 1

1 Jarrett White Rd
Tripler Army Medical Center ATTN: MCHK-QS
Tripler Amc, HI 96859-5001
Phone (808) 433-2460

Other identifiers 1

IdentifierTypeStateIssuer
004781MedicaidHI

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
I20230201002402 HI Practitioner - Clinical Social Worker 2466823356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

45-955 Kamehameha Hwy
Suite 401
Kaneohe, HI 96744-3222
Phone (808) 222-2729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW#3193HIMDClinical Social Worker
LCSW-3193HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Warrior Ohana Therapy, LLC Clinical CurrentSince Feb 1, 2023 Accepting new patients

Locations

45-955 Kamehameha Hwy
Ste 401
Kaneohe, HI 96744
Phone (808) 222-2729

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1104882398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-686 HALEMUKU WAY",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443163",
            "telephone_number": "808-222-2729",
            "fax_number": "088-247-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-955 KAMEHAMEHA HWY STE 401",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443222",
            "telephone_number": "808-222-2729",
            "fax_number": "808-247-4891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center ATTN: MCHK-QS",
            "address_purpose": "LOCATION",
            "city": "Tripler Amc",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-2460",
            "fax_number": "808-433-1558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANIAUPIO",
        "first_name": "TERRY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3193",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW#3193",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004781",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.