Individual provider Active NPI

Mary Tang, LSW

  • Social Worker
  • Waipahu, HI
National Provider Identifier
1891136032
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
LSW-2058 Issued in HI
Practice address
94-408 Akoki St
Suite 202
Waipahu, HI 96797-2733
Phone
(808) 676-5584
Fax
(808) 676-5587
NPI assigned
Jul 16, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW-2058 HI Primary

Addresses

Primary practice location

94-408 Akoki St
Suite 202
Waipahu, HI 96797-2733

Mailing address

94-408 Akoki St
Suite 202
Waipahu, HI 96797-2733
Phone (808) 676-5584

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW-2058HIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parent Child Development Center Waipahu Past Accepting new patients
Parent Child Development Center Waipahu Past Accepting new patients

Organizations & group practices 2

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": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1891136032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-408 AKOKI ST",
            "address_2": "SUITE 202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972733",
            "telephone_number": "808-676-5584",
            "fax_number": "808-676-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-408 AKOKI ST",
            "address_2": "SUITE 202",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967972733",
            "telephone_number": "808-676-5584",
            "fax_number": "808-676-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "MARY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "LSW-2058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.