Teri-ann Kinimaka, LCSW, CSAC,CCJP, SAP is a
Social Worker - Clinical based in Honolulu, Hawaii. Teri-ann Kinimaka is licensed to practice in Hawaii (license number LCSW-3383) and her current practice location is
750 Alewa Dr, Honolulu, Hawaii. She can be reached at her office (for appointments etc.) via phone at
(808) 392-4813.
NPI number for Teri-ann Kinimaka is 1316007610 and her current mailing address is 750 Alewa Dr, Honolulu, Hawaii. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316007610.
Healthcare Provider's Profile
| Full Name | Teri-ann Kinimaka |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 750 Alewa Dr, Honolulu, Hawaii |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1316007610
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 10/25/2022
Medical Identifiers
Medical identifiers for Teri-ann Kinimaka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316007610 | NPI | - | NPPES |
| 627119 | Medicaid | HI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CCDP-D 110-11 (Hawaii) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | SAP - 20478 (Hawaii) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CCJP 330-11 (Hawaii) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CSAC 1687-12 (Hawaii) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-3383 (Hawaii) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Teri-ann Kinimaka is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Teri-ann Kinimaka, LCSW, CSAC,CCJP, SAP
750 Alewa Dr,
Honolulu, HI 96817-1533
Ph: (808) 392-4813 | Teri-ann Kinimaka, LCSW, CSAC,CCJP, SAP
750 Alewa Dr,
Honolulu, HI 96817-1533
Ph: (808) 392-4813 |
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