Laura Catherine Moa Nishizaki, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW4645 Issued in HI

Practice address

1301 Punchbowl St
Honolulu, HI 96813-2402

Phone

(808) 691-7336

Fax

(808) 691-4305

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kauionalani Catherine Nishizaki Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1114277282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1493 LOILOI LOOP",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064875",
            "telephone_number": "808-391-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-691-7336",
            "fax_number": "808-691-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIZAKI",
        "first_name": "LAURA",
        "middle_name": "CATHERINE MOA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2024-04-30",
        "certification_date": "2022-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "LSW2118",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW4645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAUIONALANI",
            "last_name": "NISHIZAKI",
            "middle_name": "CATHERINE",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Dawn Nishina, ARNP
• Frances M Nishioka, OTR
• Jennifer N. Nishioka, MD
• Scott Nishioka
• Kylie R Nishisaka, DPT
• Marinez Niskey
• Laurie Kurosaki Nitta-Lee, OTD
• Jamie Nitta-McGrew
• Danton Chase Juen Ming Nitta, PHARMD
• Holly Nitta, OT

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.