Individual provider Active NPI

Wesley Y. Taira, L.C.S.W.

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1689074130
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 3964 Issued in HI
Practice address
545 Mananai PL Apt U
Honolulu, HI 96818-5316
Phone
(808) 738-6502
NPI assigned
Sep 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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 LCSW 3964 HI Primary

Addresses

Primary practice location

545 Mananai PL Apt U
Honolulu, HI 96818-5316

Mailing address

545 Mananai PL Apt U
Honolulu, HI 96818-5316
Phone (808) 738-6502

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
I20180516001119 HI Practitioner - Clinical Social Worker 2062776222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Counseling Center HawaiiGroup PAC ID 6507080918, 8 clinicians

Practice addresses (Care Compare)

1020 S Beretania St
Honolulu, HI 96814-1428
Phone (808) 545-2740

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW 3964HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Hawaii CurrentSince Apr 10, 2018 Accepting new patients

Locations

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409616000000",
    "number": "1689074130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 MANANAI PL APT U",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968185316",
            "telephone_number": "808-738-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 MANANAI PL APT U",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968185316",
            "telephone_number": "808-738-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIRA",
        "first_name": "WESLEY",
        "middle_name": "Y.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW 3964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.