Trey Halliday Fenton LCSW, Csac, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

TREY HALLIDAY FENTON LCSW, CSAC, LLC

Practice address

438 Hobron LN Ste 315
Honolulu, HI 96815-1229

Phone

(808) 542-1389

NPI assigned

Jan 30, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Trey Halliday Fenton, LCSW, CSACNPI 1194261230

Title

Owner

Phone

(808) 542-1389

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trey Halliday Fenton, LCSW, CSAC, LLC

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1194261230
  NPD Authorized official

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1265294649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3081 PATY DR APT H",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221448",
            "telephone_number": "808-542-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 HOBRON LN STE 315",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968151229",
            "telephone_number": "808-542-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREY HALLIDAY FENTON LCSW, CSAC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "FENTON",
        "authorized_official_first_name": "TREY",
        "authorized_official_middle_name": "HALLIDAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-542-1389",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, CSAC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth John Tremayne, PSY.D.
• Michele Oya Tremayne, PSY.D.
• Hasheme Dashawn Trevino
• Victoria Larson Trevino
• Tracy Trevorrow, PH.D.
• Linda Tribbia, CRNA
• Deekon Michael Bet Trim
• Morgan Ellen Graves Trimble, OTD, OTR/L
• Michelle Trinh
• Jennifer N Trinidad

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, 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 Jan 30, 2024; 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.