Organization Active NPI

Leeward Therapy and Community Supports

  • Clinical Social Worker
  • Ewa Beach, HI
National Provider Identifier
1730974619
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LEEWARD THERAPY AND COMMUNITY SUPPORTS
Practice address
91-1170 Mikohu St Apt 40C
Ewa Beach, HI 96706-4317
Phone
(808) 466-9111
NPI assigned
Apr 11, 2025
Last updated
Apr 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

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

Authorized official

Name
Taryn Ivers, LCSWNPI 1851061824
Title
Owner
Phone
(808) 466-9111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

91-1170 Mikohu St Apt 40C
Ewa Beach, HI 96706-4317

Mailing address

PO Box 970334
Waipahu, HI 96797-0334
Phone (808) 466-9111

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1730974619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 970334",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967970334",
            "telephone_number": "808-466-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1170 MIKOHU ST APT 40C",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064317",
            "telephone_number": "808-466-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEEWARD THERAPY AND COMMUNITY SUPPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "IVERS",
        "authorized_official_first_name": "TARYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-466-9111",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; 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.