Organization Active NPI

Opening Doors to Change, LLC

  • Clinical Social Worker
  • Kapolei, HI
National Provider Identifier
1174966824
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3297 Issued in HI
Legal business name
OPENING DOORS TO CHANGE, LLC
Practice address
404 Kuehu St
Kapolei, HI 96707-4500
Phone
(808) 636-4040
NPI assigned
Apr 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Karen S Bayard, LCSWNPI 1174514426
Title
Owner/ Clinical Social Worker
Phone
(808) 636-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3297 HI Primary

Addresses

Primary practice location

404 Kuehu St
Kapolei, HI 96707-4500

Mailing address

404 Kuehu St
Kapolei, HI 96707-4500
Phone (808) 636-4040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1174966824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 KUEHU ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074500",
            "telephone_number": "808-636-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 KUEHU ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074500",
            "telephone_number": "808-636-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPENING DOORS TO CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "BAYARD",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/ CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "808-636-4040",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.