Active NPI
Colleen M. Tester, L.C.S.W.
- Clinical Social Worker
- Kahului, HI
National Provider Identifier
1982748182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-3094
- Practice address
- 135 S Wakea Ave
Kahului, HI 96732-1385 - Phone
- (808) 871-1181
- NPI assigned
- Feb 19, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-3094 | HI | Primary |
Addresses
Primary practice location
135 S Wakea Ave
Kahului, HI 96732-1385
Mailing address
698 Mililani PL
Kihei, HI 96753-9361
Phone (808) 891-0136
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000237776 | Other | HI | HAWAII MEDICAL SERVICE AS |
| 542606-01 | Medicaid | HI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-3094 | HI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982748182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "698 MILILANI PL",
"city": "KIHEI",
"state": "HI",
"postal_code": "967539361",
"telephone_number": "808-891-0136",
"fax_number": "808-891-0136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S WAKEA AVE",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967321385",
"telephone_number": "808-871-1181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESTER",
"first_name": "COLLEEN",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-3094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAWAII MEDICAL SERVICE AS",
"identifier": "0000237776",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "542606-01",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.