Active NPI
Julia Fagan
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1811363385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4049
- Practice address
- 1441 Kapiolani Blvd
Suite 1600
Honolulu, HI 96814-4402 - Phone
- (808) 432-7639
- NPI assigned
- Aug 19, 2015
- Last updated
- Oct 4, 2016
- Sex
- Female
- Sole proprietor
- No
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 | LCSW-4049 | HI | Primary |
Addresses
Primary practice location
1441 Kapiolani Blvd
Suite 1600
Honolulu, HI 96814-4402
Mailing address
3060 Arbodar Rd
San Diego, CA 92154-4260
Other names 1
- Julia Galvan
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475539200000",
"number": "1811363385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3060 ARBODAR RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921544260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 KAPIOLANI BLVD",
"address_2": "SUITE 1600",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144402",
"telephone_number": "808-432-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAGAN",
"first_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-19",
"last_updated": "2016-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JULIA",
"last_name": "GALVAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.