Taryn Joy Mai Valdez Ivers, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4728 Issued in HI

Practice address

875 Waimanu St Ste 610
Honolulu, HI 96813-5267

Phone

(808) 791-6100

NPI assigned

Sep 20, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Care Hawaii, Inc.

  • Community/Behavioral Health Agency
  • Honolulu, HI
  • NPI 1770603425
  Medicare reassignment NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  HI

  Medicare reassignment NPD
• Leeward Therapy and Community Supports

  • Clinical Social Worker
  • Ewa Beach, HI
  • NPI 1730974619
  NPD Authorized official
• Leeward Therapy and Community

  • Community/Behavioral Health Agency
  • Ewa Beach, HI
  • NPI 1275289407
  NPD

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1851061824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1170 MIKOHU ST APT 40C",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967064317",
            "telephone_number": "505-429-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WAIMANU ST STE 610",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135267",
            "telephone_number": "808-791-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERS",
        "first_name": "TARYN",
        "middle_name": "JOY MAI VALDEZ",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Honolulu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "875 Waimanu St Ste 610",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968135267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David M Itomura, DDS
• Iuc Holdings Inc
• Iuc Holdings Inc
• Iuc Holdings Inc
• Iuc Holdings Inc
• Ivf Hawaii, LLC
• Marsha Yasue Iwahiro-Tanabe, DDS
• Betty PO Chuen Iwai
• Louise Kido Iwaishi, M.D.
• Darren Hideshi Iwamoto, ED.D., LMHC

• Clinical Social Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.