The Videosynergy Consortium

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-3067 Issued in HI

Legal business name

THE VIDEOSYNERGY CONSORTIUM

Practice address

1216 Young St Apt 305
Honolulu, HI 96814-1808

Phone

(808) 386-3110

NPI assigned

Feb 24, 2017

Last updated

Feb 24, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth R Austin, LCSW

Title

Authorized Office

Phone

(808) 386-3110

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487894400000",
    "number": "1275073199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1216 YOUNG ST APT 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141808",
            "telephone_number": "808-386-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1216 YOUNG ST APT 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141808",
            "telephone_number": "808-386-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VIDEOSYNERGY CONSORTIUM",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICE",
        "authorized_official_telephone_number": "808-386-3110",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Feb 24, 2017; 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.