Department of Veterans Affairs

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

32606 Issued in CA

Legal business name

DEPARTMENT OF VETERANS AFFAIRS

Practice address

459 Patterson Rd
Honolulu, HI 96819-1522

Phone

(808) 433-0357

NPI assigned

Nov 27, 2012

Last updated

Nov 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tiny Park

Title

Ao, MHS

Phone

(808) 433-0676

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1386988616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "459 PATTERSON RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191522",
            "telephone_number": "808-433-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "459 PATTERSON RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968191522",
            "telephone_number": "808-433-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF VETERANS AFFAIRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "TINY",
        "authorized_official_title_or_position": "AO, MHS",
        "authorized_official_telephone_number": "808-433-0676"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "32606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Implant Associates, LLC
• Dental Technology Center of Hawaii LLC
• Dentistry for Children Inc.
• Kehaulani Christina Denton, DPT
• Department of Veterans Affairs
• Jennifer Depry, PSY.D.
• Dept of Veterans Affairs
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Div-Mainland
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division
• Dept. of Health-Hawaii-Child and Adolescent Mental Health Division

• 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 Nov 27, 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.

Verify at the official NPI Registry.