Individual provider Active NPI

Joy Ny Tanimura Winquist, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1679142699
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4180 Issued in HI
Practice address
1127 11TH Ave Ste 301
Honolulu, HI 96816-2443
Phone
(808) 773-4560
NPI assigned
Jun 23, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.017759 IL
Clinical Social Worker 1041C0700X 4180 HI Primary

Addresses

Primary practice location

1127 11TH Ave Ste 301
Honolulu, HI 96816-2443

Mailing address

3495 E Manoa Rd
Honolulu, HI 96822-1332
Phone (808) 392-3340

Other practice location 1

3495 E Manoa Rd
Honolulu, HI 96822-1332
Phone (808) 392-3340

Other names 1

  • Joy Nalani Yukie Tanimura Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240904002503 HI Practitioner - Clinical Social Worker 7416497540 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1127 11TH Ave
Suite 301
Honolulu, HI 96816-2443
Phone (808) 773-4560

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
149.017759ILMDClinical Social Worker
4180HIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pulama Counseling LLC CurrentSince Jun 2, 2024 Accepting new patients

Locations

1127 11th Ave
Ste 301
Honolulu, HI 96816
Phone (808) 773-4560

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1679142699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3495 E MANOA RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221332",
            "telephone_number": "808-392-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 11TH AVE STE 301",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162443",
            "telephone_number": "808-773-4560"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3495 E Manoa Rd",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968221332",
            "country_code": "US",
            "telephone_number": "808-392-3340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINQUIST",
        "first_name": "JOY",
        "middle_name": "NY TANIMURA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-23",
        "last_updated": "2021-08-31",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.017759",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOY",
            "last_name": "TANIMURA",
            "middle_name": "NALANI YUKIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.