Individual provider Active NPI

Eleanor V. Himes, LCSW

  • Clinical Social Worker
  • Wailuku, HI
National Provider Identifier
1841436573
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW3503 Issued in HI
Practice address
1356 Kilou St
Wailuku, HI 96793-9753
Phone
(808) 244-5314
Fax
(808) 872-4067
NPI assigned
Dec 30, 2008
Last updated
Dec 30, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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 LCSW3503 HI Primary

Addresses

Primary practice location

1356 Kilou St
Wailuku, HI 96793-9753

Mailing address

1356 Kilou St
Wailuku, HI 96793-9753
Phone (808) 244-5314

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
I20120912000512 HI Practitioner - Clinical Social Worker 2264680420 Practice locations: Wailuku, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Pittsburgh School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1356 Kilou St
Wailuku, HI 96793-9753
Phone (808) 244-5314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW3503HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1230595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230595200000",
    "number": "1841436573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 KILOU ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939753",
            "telephone_number": "808-244-5314",
            "fax_number": "808-872-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 KILOU ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967939753",
            "telephone_number": "808-244-5314",
            "fax_number": "808-872-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMES",
        "first_name": "ELEANOR",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-30",
        "last_updated": "2008-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW3503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.