Daniel Church, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2272 Issued in HI

Practice address

200 Ike Dr
Makawao, HI 96768-9718

Phone

(808) 579-8414

NPI assigned

Jul 28, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

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

• Hospice Maui, Inc

  • Community Based Hospice Care Agency
  • Wailuku, HI
  • NPI 1063445690
  NPD
• Aloha House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Makawao, HI
  • NPI 1457642076
  NPD (past)
• Maui Youth and Family Services Inc

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Makawao, HI
  • NPI 1205838539
  NPD (past)

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1225581929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 IKE DR",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689718",
            "telephone_number": "808-579-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 IKE DR",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689718",
            "telephone_number": "808-579-8414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "DANIEL",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "2272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Cook Therapy, Inc.
• Hillary Carrier, FNP-C
• Sheryl L Carter, PT
• Center for Peak Brain Performance
• Cecilia Choi, MD
• CMG Consulting LLC
• Bronwen Stephanie Coleman, FNP-BC
• Ann Yi-Ting Hsu Collins, MFT
• Raenelle L Coloma, COUNSELOR
• Colorado Apothecary, LLC

• Social Worker in Makawao, HI
• Providers in Makawao, HI by specialty
• Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.