Active NPI
Terilyn Y. Keliinoi, LCSW
- Clinical Social Worker
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW3643
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3643 | Other | HI | STATE OF HAWAII DEPARTMENT OF COMMERCE AND CONSUMER AFFAIRS |
Other names 1
- Ms. Terilyn Allen
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW3643 | HI | MD | Clinical Social Worker |
| 3643 | HI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Partners Hawaii Inc | Current | Accepting new patients | |
| Wellness Partners Hawaii PHP and Iop, LLC | Past | Accepting new patients | |
| Ke Ola Mamo | Past | Accepting new patients | |
| Ke Ola Mamo | Past | 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.
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- NPI 1700979531
-
- Community/Behavioral Health Agency
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- NPI 1033953922
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.