Active NPI
Irene M Mazurok, LCSW, CSAC
- Social Worker
- Kaneohe, HI
National Provider Identifier
1588989131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 3293
- Practice address
- 45-845 Pookela St
Kaneohe, HI 96744-5700 - Phone
- (808) 236-2600
- Fax
- (808) 236-2626
- NPI assigned
- Apr 6, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 3293 | HI | Primary |
Addresses
Primary practice location
45-845 Pookela St
Kaneohe, HI 96744-5700
Mailing address
45-845 Pookela St
Kaneohe, HI 96744-5700
Phone (808) 236-2600
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3293 | HI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heather H. McDermott, Psy.D., LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Adult and Child Psychological Services
- Clinical Psychologist
- Honolulu, HI
- NPI 1629405493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270512000000",
"number": "1588989131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45-845 POOKELA ST",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967445700",
"telephone_number": "808-236-2600",
"fax_number": "808-236-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45-845 POOKELA ST",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967445700",
"telephone_number": "808-236-2600",
"fax_number": "808-236-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZUROK",
"first_name": "IRENE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "LCSW, CSAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-06",
"last_updated": "2010-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "HI",
"license": "3293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.