Active NPI
Michelle Larson
- School Social Worker
- Kapolei, HI
National Provider Identifier
1295166718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 601 Kamokila Blvd Ste 355
Kapolei, HI 96707-2035 - Phone
- (808) 692-7700
- Fax
- (808) 692-7712
- NPI assigned
- Dec 9, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
601 Kamokila Blvd Ste 355
Kapolei, HI 96707-2035
Mailing address
1611 Keeaumoku St Apt 310
Honolulu, HI 96822-4314
Phone (801) 372-9255
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Clinical Education & Research Associates | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Medical Laboratory
- Honolulu, HI
- NPI 1659971489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386547200000",
"number": "1295166718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 KEEAUMOKU ST APT 310",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968224314",
"telephone_number": "801-372-9255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 KAMOKILA BLVD STE 355",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967072035",
"telephone_number": "808-692-7700",
"fax_number": "808-692-7712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARSON",
"first_name": "MICHELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2013-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.