Active NPI
Nikima Tangerine Loureiro
- Clinical Social Worker
- Agana Heights, GU
National Provider Identifier
1487080719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3869
- Practice address
- BLDG #50, Farenholt Ave,
Agana Heights, GU 96910 - Phone
- (671) 344-9401
- NPI assigned
- Sep 18, 2013
- Last updated
- Feb 24, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-3869 | HI | |
| Clinical Social Worker | 1041C0700X | 3869 | HI | Primary |
Addresses
Primary practice location
BLDG #50, Farenholt Ave,
Agana Heights, GU 96910
Mailing address
BLDG #50, Farenholt Ave
U.S. Naval Hospital Guam
Agana Heights, GU 96910
Phone (671) 344-9401
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 |
|---|---|---|---|
| 3869 | HI | MD | Clinical Social Worker |
| LCSW-3869 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677196800000",
"number": "1487080719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BLDG #50, FARENHOLT AVE",
"address_2": "U.S. NAVAL HOSPITAL GUAM",
"city": "AGANA HEIGHTS",
"state": "GU",
"postal_code": "96910",
"telephone_number": "671-344-9401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG #50, FARENHOLT AVE,",
"city": "AGANA HEIGHTS",
"state": "GU",
"postal_code": "96910",
"telephone_number": "671-344-9401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUREIRO",
"first_name": "NIKIMA",
"middle_name": "TANGERINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-18",
"last_updated": "2023-02-24",
"certification_date": "2023-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-3869",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Agana Heights, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.