MR. MARK ANDREW GERUM (NPI# 1558503854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558503854 |
| Entity Type | Individual |
| Full Name | MR. MARK ANDREW GERUM |
| Credential | MSW, LCSW, MPH |
| Practice Address |
Tripler Army Medical Center, 1 Jarrett White Road Intensive Outpatient Program (iop) Honolulu HI 96859 |
| Mailing Address |
Tripler Army Medical Center, 1 Jarrett White Road Intensive Outpatient Program (iop) Apo AP 96859 |
| Practice Telephone | 8084337480 |
| Mailing Telephone | 8084337480 |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
3480 | HI | Behavioral Health & Social Service Providers |
| Street Address |
TRIPLER ARMY MEDICAL CENTER, 1 JARRETT WHITE ROAD INTENSIVE OUTPATIENT PROGRAM (IOP) |
| City | HONOLULU |
| State | HI |
| Zip Code | 96859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245654763 | Kristine Rodrigues | Social Worker | Tripler Army Medical Center, 1 Jarrett White Road, Attn: Mchk-qs (credentials), Honolulu, HI 96859 | 2014-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770115792 | The Janz Corporation | Durable Medical Equipment & Medical Supplies | Tripler Medical Center, C-103, Honolulu, HI 96859 | 2020-02-07 |
| 1467726927 | Elton E Bacon | Orthotist | 1 Jarrett White Rd Dept of The Army, Attn: Orthopedic Brace Clinic (mchk-dso-a), Tripler Amc, HI 96859 | 2012-03-01 |
| 1063738813 | Defense Finance & Actg Service | Military Hospital | 691 Schofield Barracks, U.s Army Health Clinic Bldg, Wahiawa, HI 96859 | 2010-04-19 |
| 1972737153 | Kyong Su Min | Orthopaedic Surgery | 1 Jarrett White Rd Bldg 4f, Tripler Army Medical Center, HI 96859 | 2009-05-04 |
| 1578720926 | Travis Jaya Mason | Surgery | Tripler Army Medical Center 1 Jarrett White Road, Honolulu, HI 96859 | 2008-05-21 |
| 1467513168 | Joselyn Cabalo Funtanilla Ponce | Registered Nurse | 1 Jarrett White Rd Bldg 4, Tripler Amc, HI 96859 | 2006-12-13 |
| 1346280195 | Harkirtin Kaur Mciver | Pediatrics | Tripler Army Medical Center Mchk-pe, 1 Jarrett White Road, Honolulu, HI 96859 | 2006-06-08 |
| 1043297740 | Jacqueline Seger | Registered Nurse | Tamc 1 Jarrett-white Rd., 1 Jarrett-white Rd. / Mchk-dsc, Honolulu, HI 96859 | 2005-12-23 |
| 1982694683 | Peter Marlin | Psychiatry & Neurology | Tamc, 1 Jarriet White Road, Honolulu, HI 96859 | 2005-10-24 |
| 1659361459 | Michael V. Arnett | Internal Medicine | Mchk-dm, 1 Jarrett White Rd, Honolulu, HI 96859 | 2005-10-24 |
| Find all providers in zip 96859 | ||||
| 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 |
|---|---|---|---|---|
| 1073113353 | Julia Luck | Social Worker | 1818 Lime St Apt 3, Honolulu, HI 96826-3862 | 2020-10-27 |
| 1114544616 | Greg Keast | Social Worker | 739 Kealahou Street, Honolulu, HI 96825 | 2020-06-30 |
| 1861046237 | Trina Yamada | Social Worker | 475 22nd Ave # 127, Honolulu, HI 96816-4400 | 2019-07-24 |
| 1568024032 | Frederica Mabel Banning | Social Worker | 3431 Campbell Ave Apt A, Honolulu, HI 96815-6120 | 2019-07-03 |
| 1942772629 | Natasha Ai Ariyoshi | Social Worker | 438 Hobron Ln Ste 311, Honolulu, HI 96815-1229 | 2018-12-19 |
| 1518450527 | Wendy Lin Farah | Social Worker | 7192 Kalanianaole Highway, Suite A143a #276, Honolulu, HI 96825 | 2018-06-13 |
| 1679077374 | Hannah Dawn Gildener | Social Worker | 445 Kaiolu St, Honolulu, HI 96815-2276 | 2018-03-19 |
| 1972006070 | Alyssa Schoenfeld | Social Worker | 5333 Likini St Apt 2201, Honolulu, HI 96818-1769 | 2018-03-14 |
| 1992204424 | Dawn Perry | Social Worker | 320 Liliuokalani Ave Apt 802, Honolulu, HI 96815-3523 | 2018-02-10 |
| 1053823443 | Curte Keola Oda | Social Worker | 200 N Vineyard Blvd Ste 501, Honolulu, HI 96817-3952 | 2017-10-25 |
| Find all providers in HONOLULU | ||||
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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.