=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104758630
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALYSON ANN NGUYEN LSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/01/2026
-----------------------------------------------------
Last Update Date | 06/05/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1001 BISHOP ST STE 2685A
-----------------------------------------------------
City | HONOLULU
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96813-3404
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-646-3805
-----------------------------------------------------
Fax | 808-481-4850
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10684 CALISTA WAY
-----------------------------------------------------
City | FOUNTAIN
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80817-7266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 808-646-3805
-----------------------------------------------------
Fax | 808-481-4850
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | LSW-3423
-----------------------------------------------------
License Number State | HI
-----------------------------------------------------