Active NPI
Haylin Adri Yaeko Dennison, LCSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1215260278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3914
- Practice address
- 401 Kamakee St Ste 305
Honolulu, HI 96814-4243 - Phone
- (808) 500-7134
- NPI assigned
- Sep 9, 2009
- Last updated
- Apr 6, 2021
- Sex
- Female
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 778483 | Medicaid | HI |
Other names 1
- Haylin Strombach
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3914 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.