MRS. CARRIE HANAE SHKLOV (NPI# 1356777874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356777874 |
| Entity Type | Individual |
| Full Name | MRS. CARRIE HANAE SHKLOV |
| Credential | LCSW |
| Practice Address |
91-2135 Fort Weaver Rd #501 Ewa Beach HI 96706-1940 |
| Practice Telephone | 8083126820 |
| Practice Fax Number | 8086800003 |
| Mailing Telephone | 8083126820 |
| Mailing Fax Number | 8086800003 |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2013-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3798 | HI | Behavioral Health & Social Service Providers |
| Street Address |
91-2135 FORT WEAVER RD #501 |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-1940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457356164 | Leeward Radiation Oncology | Clinic/Center | 91-2135 Fort Weaver Rd, Ste B120, Ewa Beach, HI 96706-1929 | 2005-06-17 |
| 1427453695 | Richard Himmelmann Jr. | Acupuncturist | 91-2135 Fort Weaver Rd, #150, Ewa Beach, HI 96706-1940 | 2014-10-29 |
| 1629471834 | Naomi Fukuda | Registered Nurse | 91-2135 Fort Weaver Rd, Suite 180, Ewa Beach, HI 96706-3607 | 2014-10-01 |
| 1043554140 | Honolulu Vamc | Clinic/Center | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-11-15 |
| 1104170935 | Brian W Kelley | Clinical Neuropsychologist | 91-2135 Fort Weaver Rd, Suite 501, Ewa Beach, HI 96706-1940 | 2012-10-31 |
| 1306051834 | Scott Sadamu Morioka | Physical Medicine & Rehabilitation | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2007-05-10 |
| 1184779217 | Carl F Hodel | Emergency Medicine | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2007-01-25 |
| 1649338294 | Eva Shear | Physician Assistant | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2006-12-05 |
| 1982780367 | Tai-yuan David Lin | Pathology | 91-2135 Fort Weaver Rd, #300, Ewa Beach, HI 96706-1940 | 2006-10-28 |
| 1619989597 | Workstar Occupational Health Systems Inc | Preventive Medicine | 91-2135 Fort Weaver Rd, Suite 170, Ewa Beach, HI 96706-1940 | 2006-08-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1144729260 | Corinne Yuen Matsumoto | Social Worker | 91-105 Akekee Pl, Ewa Beach, HI 96706-3921 | 2018-02-04 |
| 1942725940 | Joelle Branch | Social Worker | 91-872 Puhikani St, Ewa Beach, HI 96706-4018 | 2017-08-10 |
| 1366985681 | Leah Teglovic | Social Worker | 91-1091 Laaulu St Apt F, Ewa Beach, HI 96706-4448 | 2016-11-18 |
| 1467849174 | Eryn Nakamura | Social Worker | 91-1360 Karayan St, Ewa Beach, HI 96706-1985 | 2015-04-20 |
| 1316373715 | Kathy Southard | Social Worker | Kahi Mohala Behavioral Health, 2301 Old Fort Weaver Rd, Ewa Beach, HI 96706 | 2013-09-18 |
| 1548518087 | Kristine Lillian Rodriguez | Social Worker | 6860 A 112th Street, Ewa Beach, HI 96706 | 2012-08-15 |
| 1568935989 | Nicole Tsuchiya | Social Worker | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2019-01-08 |
| 1114497468 | Shelly Johnson | Social Worker | 91-2301 Old Ft Weaver Rd, Ewa Beach, HI 96706-3602 | 2018-11-29 |
| 1366952780 | Mylinda Marie Nudd Morris | Social Worker | 91-2135 Fort Weaver Rd Ste 501, Ewa Beach, HI 96706-1929 | 2017-10-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.