Active NPI
Gary Weisman, LCSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1134126972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW 3004
- Practice address
- 1314 S King St
#603
Honolulu, HI 96814-1956 - Phone
- (808) 382-4973
- Fax
- (808) 833-5060
- NPI assigned
- Jul 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | LCSW 3004 | HI | Primary |
Addresses
Primary practice location
1314 S King St
#603
Honolulu, HI 96814-1956
Mailing address
1314 S King St
#603
Honolulu, HI 96814-1956
Phone (808) 382-4973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCSW 3004 | Other | HI | LICENSED CLINICAL SOCIAL |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW 3004 | HI | MD | Clinical Social Worker |
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1134126972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 S KING ST",
"address_2": "#603",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141956",
"telephone_number": "808-382-4973",
"fax_number": "808-833-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 S KING ST",
"address_2": "#603",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968141956",
"telephone_number": "808-382-4973",
"fax_number": "808-833-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEISMAN",
"first_name": "GARY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW 3004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL SOCIAL",
"identifier": "LCSW 3004",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.