Individual provider Active NPI

Robbyn K Takeuchi, LCSW

  • Clinical Social Worker
  • Pearl City, HI
National Provider Identifier
1730399262
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW3236 Issued in HI
Practice address
1805 Palamoi St
Pearl City, HI 96782-1564
Phone
(808) 291-2942
Fax
(808) 455-6149
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 LCSW3236 HI Primary

Addresses

Primary practice location

1805 Palamoi St
Pearl City, HI 96782-1564

Mailing address

1805 Palamoi St
Pearl City, HI 96782-1564
Phone (808) 291-2942

Other identifiers 3

IdentifierTypeStateIssuer
547169MedicaidHI
00A0252633OtherHIHMSA
54716901OtherHIALOHA CARE

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
LCSW3236HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Solutions for Change LLC Clinical Past Accepting new patients
Institute for Greater Good LLC Clinical PastSince Sep 11, 2017 Accepting new patients

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730399262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 PALAMOI ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821564",
            "telephone_number": "808-291-2942",
            "fax_number": "808-455-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PALAMOI ST",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967821564",
            "telephone_number": "808-291-2942",
            "fax_number": "808-455-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEUCHI",
        "first_name": "ROBBYN",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW3236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "547169",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0252633",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "54716901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.