Organization Active NPI

Silver Tsunami Therapy LLC

  • Clinical Social Worker
  • Wailuku, HI
National Provider Identifier
1619712197
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SILVER TSUNAMI THERAPY LLC
Practice address
1742 Kaahumanu Ave
Wailuku, HI 96793-2407
Phone
(808) 276-6672
NPI assigned
Jun 27, 2024
Last updated
Jun 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Authorized official

Name
Lori Shinsato, LCSW
Title
Sole Member
Phone
(808) 276-6672

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1742 Kaahumanu Ave
Wailuku, HI 96793-2407

Mailing address

1742 Kaahumanu Ave
Wailuku, HI 96793-2407
Phone (808) 276-6672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1619712197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1742 KAAHUMANU AVE",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932407",
            "telephone_number": "808-276-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 KAAHUMANU AVE",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932407",
            "telephone_number": "808-276-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER TSUNAMI THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "SHINSATO",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "808-276-6672",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.