Active NPI
Subin Ueda, MSW
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1891864542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW3789
- Practice address
- 3375 Koapaka St Ste F22014
Honolulu, HI 96819-1816 - Phone
- (808) 538-2538
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 16866 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW3789 | HI | Primary |
Addresses
Primary practice location
3375 Koapaka St Ste F22014
Honolulu, HI 96819-1816
Mailing address
3375 Koapaka St Ste F22014
Honolulu, HI 96819-1816
Phone (808) 538-2538
Other practice location 1
10605 Balboa Blvd Ste 100
Granada Hills, CA 91344-6367
Phone (818) 832-2400 ext. 2494
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 16866 | CA | MD | Clinical Social Worker |
| LCSW3789 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1891864542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3375 KOAPAKA ST STE F22014",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191816",
"telephone_number": "808-538-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3375 KOAPAKA ST STE F22014",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191816",
"telephone_number": "808-538-2538"
}
],
"practiceLocations": [
{
"address_1": "10605 Balboa Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Granada Hills",
"state": "CA",
"postal_code": "913446367",
"country_code": "US",
"telephone_number": "818-832-2400 x2494",
"fax_number": "818-832-2567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "UEDA",
"first_name": "SUBIN",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 16866",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW3789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.