Active NPI
Robbyn K Takeuchi, LCSW
- Clinical Social Worker
- Pearl City, HI
National Provider Identifier
1730399262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW3236
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 547169 | Medicaid | HI | |
| 00A0252633 | Other | HI | HMSA |
| 54716901 | Other | HI | ALOHA 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW3236 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solutions for Change LLC | Clinical | Past | Accepting new patients |
| Institute for Greater Good LLC | Clinical | Past | 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.
-
- Community/Behavioral Health Agency
- Honolulu, HI
- NPI 1689199515
Clinical
-
- Clinical Social Worker
- Honolulu, HI
- NPI 1861562803
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.