Individual provider Active NPI

Pamela K Silva, LCSW, QCSW

  • Clinical Social Worker
  • Waipahu, HI
National Provider Identifier
1912234154
Registry record updated Jan 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3554 Issued in HI
Practice address
94-1036 Waipio Uka St
Suite 109
Waipahu, HI 96797-4050
Phone
(808) 292-0885
Fax
(808) 671-8855
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3554 HI Primary
Clinical Social Worker 1041C0700X 1525 HI

Addresses

Primary practice location

94-1036 Waipio Uka St
Suite 109
Waipahu, HI 96797-4050

Mailing address

94-1221 Ka Uka Blvd
Suite 108-180
Waipahu, HI 96797-6202
Phone (808) 292-0885

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
3554HIMDClinical Social Worker
1525HIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PS Elevate LLC Clinical Current Accepting new patients

Locations

94-1221 Ka Uka Blvd
Ste 108180
Waipahu, HI 96797
Phone (808) 292-0885

Organizations & group practices 1

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1912234154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1221 KA UKA BLVD",
            "address_2": "SUITE 108-180",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967976202",
            "telephone_number": "808-292-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1036 WAIPIO UKA ST",
            "address_2": "SUITE 109",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974050",
            "telephone_number": "808-292-0885",
            "fax_number": "808-671-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "PAMELA",
        "middle_name": "K",
        "credential": "LCSW, QCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3554",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "1525",
            "primary": false
        }
    ],
    "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 Jan 10, 2014; 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.