Individual provider Active NPI

Cindy M. K. Teramoto, LCSW

  • Clinical Social Worker
  • Kapolei, HI
National Provider Identifier
1639323884
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3095 Issued in HI
Practice address
92-808 Ahikoe St
Kapolei, HI 96707-1171
Phone
(808) 230-6173
NPI assigned
Nov 13, 2008
Last updated
Sep 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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 3095 HI Primary

Addresses

Primary practice location

92-808 Ahikoe St
Kapolei, HI 96707-1171

Mailing address

92-808 Ahikoe St
Kapolei, HI 96707-1171
Phone (808) 230-6173

Other names 1

  • Cindy M. K. Melim Former name

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

LicenseStateTypeSpecialty
3095HIMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1639323884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-808 AHIKOE ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071171",
            "telephone_number": "808-230-6173",
            "fax_number": "866-253-2469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-808 AHIKOE ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071171",
            "telephone_number": "808-230-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERAMOTO",
        "first_name": "CINDY",
        "middle_name": "M. K.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-13",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CINDY",
            "last_name": "MELIM",
            "middle_name": "M. K.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; 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.