Individual provider Active NPI

Arlene Asuncion Agoy, LSW

  • Social Worker
  • Wailuku, HI
National Provider Identifier
1295034973
Registry record updated Mar 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1282 Issued in HI
Practice address
54 S High St
Room 301
Wailuku, HI 96793-2102
Phone
(808) 984-2136
Fax
(808) 984-8222
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1282 HI Primary

Addresses

Primary practice location

54 S High St
Room 301
Wailuku, HI 96793-2102

Mailing address

54 S High St
Room 301
Wailuku, HI 96793-2102
Phone (808) 984-2136

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

LicenseStateTypeSpecialty
1282HIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300665600000",
    "number": "1295034973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 S HIGH ST",
            "address_2": "ROOM 301",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932102",
            "telephone_number": "808-984-2136",
            "fax_number": "808-984-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 S HIGH ST",
            "address_2": "ROOM 301",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932102",
            "telephone_number": "808-984-2136",
            "fax_number": "808-984-8222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOY",
        "first_name": "ARLENE",
        "middle_name": "ASUNCION",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2011-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "1282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2011; 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.