Provider Demographics
NPI:1679142699
Name:WINQUIST, JOY NY TANIMURA (LCSW)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:NY TANIMURA
Last Name:WINQUIST
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:NALANI YUKIE
Other - Last Name:TANIMURA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3495 E MANOA RD
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1332
Mailing Address - Country:US
Mailing Address - Phone:808-392-3340
Mailing Address - Fax:
Practice Address - Street 1:1127 11TH AVE STE 301
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2443
Practice Address - Country:US
Practice Address - Phone:808-773-4560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-23
Last Update Date:2021-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0177591041C0700X
HI41801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical