Active NPI
Sonja Miranda-Ome, LCSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1578832028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3647
- Practice address
- 367 Paliku St
Honolulu, HI 96825-2351 - Phone
- (808) 497-1944
- Fax
- (808) 395-7291
- NPI assigned
- Dec 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 3647 | HI | Primary |
Addresses
Primary practice location
367 Paliku St
Honolulu, HI 96825-2351
Mailing address
367 Paliku St
Honolulu, HI 96825-2351
Phone (808) 497-1944
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1041C0T00X | Other | HI | KAISER PERMANENTE |
| 1041C0T00X | Other | HI | HAWAII MEDICAL ASSOCIATION |
| 1041C0T00X | Other | HI | HAWAII MEDICAL SERVICE ASSOCIATION |
| 1041C0T00X | Other | HI | HAWAII MEDICAL ASSURANCE ASSOCIATION |
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 |
|---|---|---|---|
| 3647 | HI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1578832028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 PALIKU ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968252351",
"telephone_number": "808-497-1944",
"fax_number": "808-395-7291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "367 PALIKU ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968252351",
"telephone_number": "808-497-1944",
"fax_number": "808-395-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRANDA-OME",
"first_name": "SONJA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-12-28",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3647",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER PERMANENTE",
"identifier": "1041C0T00X",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII MEDICAL ASSOCIATION",
"identifier": "1041C0T00X",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII MEDICAL SERVICE ASSOCIATION",
"identifier": "1041C0T00X",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII MEDICAL ASSURANCE ASSOCIATION",
"identifier": "1041C0T00X",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.