Organization Active NPI

Yvonne Yim Licensed Clinical Social Worker and Consultant LLC

  • Nursing Facility/Intermediate Care Facility
  • Honolulu, HI
National Provider Identifier
1851609523
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
3015 Issued in HI
Legal business name
YVONNE YIM LICENSED CLINICAL SOCIAL WORKER AND CONSULTANT LLC
Practice address
1920 McKinley St
Honolulu, HI 96822-2129
Phone
(808) 469-2161
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Authorized official

Name
Mrs. Yvonne B.D. Yim, LCSW
Title
Owner
Phone
(808) 469-2161

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 3015 HI
Nursing Facility/Intermediate Care Facility 313M00000X 3015 HI Primary
Skilled Nursing Facility 314000000X 3015 HI
Pediatric Skilled Nursing Facility 3140N1450X 3015 HI

Addresses

Primary practice location

1920 McKinley St
Honolulu, HI 96822-2129

Mailing address

1920 McKinley St
Honolulu, HI 96822-2129

Other names 1

  • Yvonne Yim Licensed Clinical Social Worker Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1851609523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 MCKINLEY ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 MCKINLEY ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968222129",
            "telephone_number": "808-469-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YVONNE YIM LICENSED CLINICAL SOCIAL WORKER AND CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "YIM",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "B.D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-469-2161",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "HI",
            "license": "3015",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "3015",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "HI",
            "license": "3015",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "HI",
            "license": "3015",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yvonne Yim Licensed Clinical Social Worker",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 2010; 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.