Individual provider Active NPI

Vivian Naomi Minamishin, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1548961535
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4928 Issued in HI
Practice address
850 W Hind Dr Ste 210
Honolulu, HI 96821-1845
Phone
(808) 941-9648
NPI assigned
Mar 15, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-4928 HI Primary

Addresses

Primary practice location

850 W Hind Dr Ste 210
Honolulu, HI 96821-1845

Mailing address

850 W Hind Dr Ste 210
Honolulu, HI 96821-1845
Phone (808) 941-9648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Behavioral Care of Ohio, Inc. Clinical CurrentSince Jan 18, 2025 Accepting new patients
Optum Behavioral Care of Ohio, Inc CurrentSince Jan 18, 2025 Accepting new patients

Locations

98-084 Kamehameha Hwy
Ste 304
Aiea, HI 96701
Phone (808) 486-1020

1130 N Nimitz Hwy
Rm C303
Honolulu, HI 96817
Phone (808) 450-0925

438 Hobron Ln
Ste 405
Honolulu, HI 96815
Phone (808) 941-9648

850 W Hind Dr
Ste 210
Honolulu, HI 96821
Phone (808) 247-7770

970 N Kalaheo Ave
Ste A214
Kailua, HI 96734
Phone (808) 238-1953

11000 Optum Cir
Eden Prairie, MN 55344

Interoperability endpoints

  • Direct secure messaging: vivian.minamishin.1@28621.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1548961535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 210",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-941-9648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 W HIND DR STE 210",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968211845",
            "telephone_number": "808-941-9648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINAMISHIN",
        "first_name": "VIVIAN",
        "middle_name": "NAOMI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.