Staci Hanashiro

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-4978 Issued in HI

Practice address

45-710 Kaku St
Kaneohe, HI 96744-3411

Phone

(808) 383-9344

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Imua Health Group, LLC

  • Psychologist
  • Aiea, HI
  • NPI 1023648995

  Clinical

  Medicare reassignment NPD
• Imua Heart

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aiea, HI
  • NPI 1265119416
  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681603200000",
    "number": "1255026787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-710 KAKU ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443411",
            "telephone_number": "808-383-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-710 KAKU ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443411",
            "telephone_number": "808-383-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANASHIRO",
        "first_name": "STACI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-16",
        "certification_date": "2023-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherilyn Hale
• Halona Tanner LLC
• Susan Halvorsen
• Winter C Hamada, PH.D.
• Destinee M Hanaike-Macpherson
• Maureen Elizabeth Hannan, PA-C
• Jeremy Mark Hannon, D.M.D.
• Happy Space LLC
• Patricia Ann Harnish, PH.D.
• Hawaii Dental Group, Inc. (Hawaii Family Dental Centers-Windward Mall)

• Clinical Social Worker in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.