MR. WESLEY Y. TAIRA (L.C.S.W.) – Clinical Social Worker, NPI 1689074130

MR. WESLEY Y. TAIRA (L.C.S.W.) is a healthcare provider. based in Honolulu, Hawaii. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials L.C.S.W.. They hold a License No. LCSW 3964 (HI). The NPI Number for MR. WESLEY Y. TAIRA (L.C.S.W.) is 1689074130

Main info

Male
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
MR. WESLEY Y. TAIRA (L.C.S.W.)
NPI
1689074130
Phone
(808) 738-6502
Address
545 MANANAI PL APT U
Enumeration Date
2 September 2014
Last Update Date
2 September 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8085452740
Graduation Year
2004 (22 years ago)
PAC ID
2062776222
Group Practice PAC ID
6507080918
Professional Enrollment ID
I20180516001119
Address ID
HI968141428HO1020XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

245 CLINICAL SOCIAL WORKER in HI

Provider Addresses for MR. WESLEY Y. TAIRA (L.C.S.W.)

  • 545 MANANAI PL APT U

    HONOLULU, HI 968185316

    Phone: (808) 738-6502

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180516001119IClinical Social WorkerHITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 96818)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6507080918View full group profile
NameSpecialtyState
Marriage And Family TherapistHI
Mental Health CounselorHI
Marriage And Family TherapistHI
Clinical PsychologistCA
Clinical Social WorkerHI
Marriage And Family TherapistHI
Mental Health CounselorHI
-HI

Reviews

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Frequently asked questions

Can I cross-check MR. WESLEY Y. TAIRA (L.C.S.W.) using NPI 1689074130?
NPI 1689074130 belongs to MR. WESLEY Y. TAIRA (L.C.S.W.); compare other details if you need extra assurance.
Active or inactive — what applies to MR. WESLEY Y. TAIRA (L.C.S.W.)?
You should see MR. WESLEY Y. TAIRA (L.C.S.W.) as active in CMS-hosted NPPES data.
What kind of doctor is MR. WESLEY Y. TAIRA (L.C.S.W.)?
MR. WESLEY Y. TAIRA (L.C.S.W.) is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. WESLEY Y. TAIRA (L.C.S.W.)?
Travel planning: use Honolulu, Hawaii as the reference point for MR. WESLEY Y. TAIRA (L.C.S.W.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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