Individual provider Active NPI

Hien Pham Quach

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1689219537
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-5220 Issued in HI
Practice address
3148 Duval St
Honolulu, HI 96815-4122
Phone
(808) 636-4756
NPI assigned
Nov 14, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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-5220 HI Primary

Addresses

Primary practice location

3148 Duval St
Honolulu, HI 96815-4122

Mailing address

3148 Duval St
Honolulu, HI 96815-4122
Phone (808) 636-4756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-5220HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Care Hawaii, Inc. CurrentSince Mar 17, 2025 Accepting new patients
Care Hawaii, Inc. PastSince Mar 19, 2023 Accepting new patients

Locations

1345 S Beretania St
Ste 301
Honolulu, HI 96814
Phone (808) 490-5723

1345 S Beretania St
Honolulu, HI 96814
Phone (808) 291-5375

3501 Rice St
Ste 2020
Lihue, HI 96766
Phone (808) 245-7548

Organizations & group practices 2

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": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1689219537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 DUVAL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154122",
            "telephone_number": "808-636-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3148 DUVAL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154122",
            "telephone_number": "808-636-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUACH",
        "first_name": "HIEN",
        "middle_name": "PHAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-5220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.