Individual provider Active NPI

Michal Chaya Cohen, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1447488515
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3767 Issued in HI
Practice address
1009 Kapiolani Blvd Apt 3907
Honolulu, HI 96814-2180
Phone
(347) 860-1471
NPI assigned
Jun 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 072258-1 NY
Clinical Social Worker 1041C0700X CW016429 PA
Clinical Social Worker 1041C0700X 3767 HI Primary

Addresses

Primary practice location

1009 Kapiolani Blvd Apt 3907
Honolulu, HI 96814-2180

Mailing address

1009 Kapiolani Blvd Apt 3907
Honolulu, HI 96814-2180
Phone (347) 860-1471

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 1, 2024 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072258-1NYMDSocial Worker
3767HIMDClinical Social Worker
CW016429PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1447488515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 KAPIOLANI BLVD APT 3907",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142180",
            "telephone_number": "347-860-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 KAPIOLANI BLVD APT 3907",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142180",
            "telephone_number": "347-860-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MICHAL",
        "middle_name": "CHAYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-29",
        "last_updated": "2021-03-03",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072258-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016429",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.