Active NPI
Stacey Uzueta, L.C.S.W.
- Clinical Social Worker
- Ewa Beach, HI
National Provider Identifier
1376793794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3645
- Practice address
- 91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602 - Phone
- (808) 671-8511
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3645 | HI | Primary |
Addresses
Primary practice location
91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602
Mailing address
91-2301 Old Ft Weaver Rd
Ewa Beach, HI 96706-3602
Phone (808) 671-8511
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3645 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354233600000",
"number": "1376793794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-2301 OLD FT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063602",
"telephone_number": "808-671-8511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-2301 OLD FT WEAVER RD",
"city": "EWA BEACH",
"state": "HI",
"postal_code": "967063602",
"telephone_number": "808-671-8511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UZUETA",
"first_name": "STACEY",
"name_prefix": "Miss",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2012-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ewa Beach, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.