Melissa Ann Takeyama, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4277 Issued in HI

Practice address

200 N Vineyard Blvd Ste 501
Honolulu, HI 96817-3952

Phone

(808) 599-7508

Fax

(808) 599-7509

NPI assigned

Jan 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Melissa Takeyama LLC

  • Clinical Social Worker
  • Honolulu, HI
  • NPI 1326782343
  NPD Authorized official
• Action With Aloha LLC

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1174701361
  NPD (past)

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1366940728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173950",
            "telephone_number": "808-599-7508",
            "fax_number": "808-599-7509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD STE 501",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173952",
            "telephone_number": "808-599-7508",
            "fax_number": "808-599-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98-1256 Kaahumanu St Ste E301",
            "address_purpose": "LOCATION",
            "city": "Pearl City",
            "state": "HI",
            "postal_code": "967823282",
            "country_code": "US",
            "telephone_number": "808-484-4489",
            "fax_number": "808-484-4494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAKEYAMA",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-31",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Taketa-Wong, N.D.
• Gwen Taketa
• Steven Ronald Taketa, PSY.D.
• Ashlyn Takeuchi
• Jayme Noriko Lee Takeuchi, APRN.RX
• Peter H. Takeyama, MD
• Tomoko Takezawa, LMT
• Ashley Maeko Takiguchi, D.D.S.
• Rodd H. Takiguchi, MD
• Scott K. Takiguchi, DDS

• 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 Apr 26, 2022; 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.