Individual provider Active NPI

Mui Phon Huynh, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1649046483
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5107 Issued in HI
Practice address
2100 Date St Apt 1502
Honolulu, HI 96826-4031
Phone
(808) 383-0231
NPI assigned
Dec 4, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 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 5107 HI Primary

Addresses

Primary practice location

2100 Date St Apt 1502
Honolulu, HI 96826-4031

Mailing address

PO Box 8741
Honolulu, HI 96830-0741
Phone (808) 383-0231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240531001129 HI Practitioner - Clinical Social Worker 0244672574 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5107HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Dec 23, 2024 Accepting new patients
Straub Clinic & Hospital CurrentSince Dec 23, 2024 Accepting new patients
Samaritan Counseling Center Hawaii CurrentSince Apr 2, 2024 Accepting new patients

Locations

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

1727 Pali Hwy
Honolulu, HI 96813

1020 S Beretania St
Honolulu, HI 96814
Phone (808) 545-2740

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1649046483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8741",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968300741",
            "telephone_number": "808-383-0231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 DATE ST APT 1502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968264031",
            "telephone_number": "808-383-0231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "MUI PHON",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "5107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.