Individual provider Active NPI

Mina Casey-Pang

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1831770221
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4617 Issued in HI
Practice address
1296 Kapiolani Blvd Apt 604
Honolulu, HI 96814-2878
Phone
(808) 348-4789
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 109147 TX
Clinical Social Worker 1041C0700X LCSW-4617 HI Primary

Addresses

Primary practice location

1296 Kapiolani Blvd Apt 604
Honolulu, HI 96814-2878

Mailing address

1296 Kapiolani Blvd Apt 604
Honolulu, HI 96814-2878

Other practice location 1

3651 Fau Blvd Ste 400
Boca Raton, FL 33431-6489
Phone (561) 567-8795

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804001757 HI Practitioner - Clinical Social Worker 6305206012 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-4617HIMDClinical Social Worker
109147TXMDClinical 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1831770221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 KAPIOLANI BLVD APT 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 KAPIOLANI BLVD APT 604",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142878",
            "telephone_number": "808-348-4789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3651 Fau Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316489",
            "country_code": "US",
            "telephone_number": "561-567-8795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASEY-PANG",
        "first_name": "MINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-16",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "109147",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.