Individual provider Active NPI

Roxsanne M Tomita, MSW, LCSW, DCSW

  • Clinical Social Worker
  • Paauilo, HI
National Provider Identifier
1821263153
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW3171 Issued in HI
Practice address
443154 Kula Kahiko Road
Paauilo, HI 96776-0413
Phone
(808) 372-3984
NPI assigned
Apr 28, 2008
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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 LCSW3171 HI Primary

Addresses

Primary practice location

443154 Kula Kahiko Road
Paauilo, HI 96776-0413

Mailing address

PO Box 413
Paauilo, HI 96776-0413
Phone (808) 372-3984

Other identifiers 1

IdentifierTypeStateIssuer
A0224483MedicaidHI

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
LCSW3171HIMDClinical Social Worker

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1821263153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413",
            "city": "PAAUILO",
            "state": "HI",
            "postal_code": "967760413",
            "telephone_number": "808-372-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443154 KULA KAHIKO ROAD",
            "city": "PAAUILO",
            "state": "HI",
            "postal_code": "967760413",
            "telephone_number": "808-372-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMITA",
        "first_name": "ROXSANNE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW, DCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-28",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW3171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A0224483",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paauilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.