Individual provider Active NPI

Haylin Adri Yaeko Dennison, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1215260278
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3914 Issued in HI
Practice address
401 Kamakee St Ste 305
Honolulu, HI 96814-4243
Phone
(808) 500-7134
NPI assigned
Sep 9, 2009
Last updated
Apr 6, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3914 HI Primary

Addresses

Primary practice location

401 Kamakee St Ste 305
Honolulu, HI 96814-4243

Mailing address

401 Kamakee St Ste 305
Honolulu, HI 96814-4243
Phone (808) 500-7134

Other identifiers 1

IdentifierTypeStateIssuer
778483MedicaidHI

Other names 1

  • Haylin Strombach Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://mindwerksclinic.clientsecure.me. Direct Mindwerks Clinic LLC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3914HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwerks Clinic LLC Clinical Current Accepting new patients

Locations

401 Kamakee St
Ste 305
Honolulu, HI 96814
Phone (808) 352-0883

Organizations & group practices 1

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": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1215260278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 KAMAKEE ST STE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144243",
            "telephone_number": "808-500-7134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 KAMAKEE ST STE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144243",
            "telephone_number": "808-500-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNISON",
        "first_name": "HAYLIN",
        "middle_name": "ADRI YAEKO",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-09",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "778483",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mindwerksclinic.clientsecure.me.",
            "affiliation": "Y",
            "affiliationName": "Mindwerks Clinic LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "401 Kamakee St Ste 305",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968144243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HAYLIN",
            "last_name": "STROMBACH",
            "credential": "LCSW",
            "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 Apr 6, 2021; 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.