Individual provider Active NPI

Terilyn Y. Keliinoi, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1205086626
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW3643 Issued in HI
Practice address
321 N. Kuakini Street
Suite #308
Honolulu, HI 96817
Phone
(808) 440-6852
Fax
(808) 440-6878
NPI assigned
Sep 22, 2008
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1720 HI
Clinical Social Worker 1041C0700X 3643 HI
Clinical Social Worker 1041C0700X LCSW3643 HI Primary

Addresses

Primary practice location

321 N. Kuakini Street
Suite #308
Honolulu, HI 96817

Mailing address

321 N. Kuakini Street
Suite #308
Honolulu, HI 96817
Phone (808) 440-6852

Other identifiers 1

IdentifierTypeStateIssuer
3643OtherHISTATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS

Other names 1

  • Ms. Terilyn Allen Former name

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
I20111119000107 HI Practitioner - Clinical Social Worker 1658545181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellness Partners Hawaii IncGroup PAC ID 4183018559, 15 clinicians

Practice addresses (Care Compare)

850 W Hind Dr
Suite 116
Honolulu, HI 96821-1845
Phone (808) 379-6656

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW3643HIMDClinical Social Worker
3643HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Partners Hawaii Inc CurrentSince May 27, 2022 Accepting new patients
Wellness Partners Hawaii PHP and Iop, LLC PastSince Jun 30, 2024 Accepting new patients
Ke Ola Mamo Past Accepting new patients
Ke Ola Mamo PastSince Jan 2, 2013 Accepting new patients

Locations

6700 Kalanianaole Hwy
Ste 201
Honolulu, HI 96825
Phone (808) 264-4915

850 W Hind Dr
Ste 116
Honolulu, HI 96821
Phone (808) 379-6656

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1205086626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N. KUAKINI STREET",
            "address_2": "SUITE #308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-440-6852",
            "fax_number": "808-440-6878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N. KUAKINI STREET",
            "address_2": "SUITE #308",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-440-6852",
            "fax_number": "808-440-6878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELIINOI",
        "first_name": "TERILYN",
        "middle_name": "Y.",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "1720",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3643",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW3643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS",
            "identifier": "3643",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERILYN",
            "last_name": "ALLEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.