Active NPI
Paul R Divinski, LCSW
- Social Worker
- Hilo, HI
National Provider Identifier
1306288550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- LCSW-3863
- Practice address
- 295 Waianueue Ave
Hilo, HI 96720 - Phone
- (808) 959-9994
- Fax
- (808) 969-3716
- NPI assigned
- Jul 29, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | LCSW-3863 | HI | Primary |
Addresses
Primary practice location
295 Waianueue Ave
Hilo, HI 96720
Mailing address
16-179 Melekahiwa Street
Kea'Au, HI 96749
Phone (808) 969-9994
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-3863 | HI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Big Island Substance Abuse Council | 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.
-
- Community/Behavioral Health Agency
- Keaau, HI
- NPI 1053260901
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1306288550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16-179 MELEKAHIWA STREET",
"city": "KEA'AU",
"state": "HI",
"postal_code": "96749",
"telephone_number": "808-969-9994",
"fax_number": "808-961-5011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 WAIANUEUE AVE",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-959-9994",
"fax_number": "808-969-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIVINSKI",
"first_name": "PAUL",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-29",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "LCSW-3863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.