Individual provider Active NPI

Natalie Keomailani Ornellas Castro, LCSW

  • Clinical Social Worker
  • Schofield Barracks, HI
National Provider Identifier
1669870010
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3970 Issued in HI
Practice address
315 Brannon Road
Building 674 - Room 2032 - Desmond Doss Health Clinic
Schofield Barracks, HI 96857-5460
Phone
(808) 433-8134
Fax
(808) 433-8597
NPI assigned
Dec 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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 3970 HI Primary

Addresses

Primary practice location

315 Brannon Road
Building 674 - Room 2032 - Desmond Doss Health Clinic
Schofield Barracks, HI 96857-5460

Mailing address

Tripler Army Medical Center Credentialing Department
1 Jarrett White Road
Tripler AMC, HI 96859-5000
Phone (808) 433-8134

Other practice location 1

55 Merchant St Fl 22
Honolulu, HI 96813-4333
Phone (808) 535-7600

Other names 1

  • Ms. Natalie Keomailani Ornellas 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
3970HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1669870010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "TRIPLER ARMY MEDICAL CENTER CREDENTIALING DEPARTMENT",
            "address_2": "1 JARRETT WHITE ROAD",
            "city": "TRIPLER AMC",
            "state": "HI",
            "postal_code": "968595000",
            "telephone_number": "808-433-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 BRANNON ROAD",
            "address_2": "BUILDING 674 - ROOM 2032 - DESMOND DOSS HEALTH CLINIC",
            "city": "SCHOFIELD BARRACKS",
            "state": "HI",
            "postal_code": "968575460",
            "telephone_number": "808-433-8134",
            "fax_number": "808-433-8597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Merchant St Fl 22",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968134333",
            "country_code": "US",
            "telephone_number": "808-535-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "NATALIE",
        "middle_name": "KEOMAILANI ORNELLAS",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "ORNELLAS",
            "middle_name": "KEOMAILANI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Schofield Barracks, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.