Individual provider Active NPI

Steven J Chelminiak, LCSW

  • Clinical Social Worker
  • Kamuela, HI
National Provider Identifier
1952381337
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW3213 Issued in HI
Practice address
65-1279 Kawaihae Rd
Kamuela, HI 96743-8444
Phone
(808) 885-5050
Fax
(808) 885-5055
NPI assigned
Jan 20, 2006
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CSAC 692-7522-7517 HI
Mental Health Counselor 101YM0800X LCSW3213 HI
Clinical Social Worker 1041C0700X LCSW3213 HI Primary

Addresses

Primary practice location

65-1279 Kawaihae Rd
Kamuela, HI 96743-8444

Mailing address

PO Box 2099
Kamuela, HI 96743-2099
Phone (808) 885-5050

Other identifiers 1

IdentifierTypeStateIssuer
51864901MedicaidHI

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
CSAC 692-7522-7517HIMDAddiction (Substance Use Disorder) Counselor
LCSW3213HIMDMental Health Counselor
1214HIMDSpeech-Language Pathologist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1952381337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2099",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967432099",
            "telephone_number": "808-885-5050",
            "fax_number": "808-885-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1279 KAWAIHAE RD",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438444",
            "telephone_number": "808-885-5050",
            "fax_number": "808-885-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHELMINIAK",
        "first_name": "STEVEN",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": "CSAC 692-7522-7517",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "HI",
            "license": "LCSW3213",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW3213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51864901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.