Individual provider Active NPI

Cassandra Castillo, LCSW

  • Clinical Social Worker
  • Kapolei, HI
National Provider Identifier
1013612985
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5006-0 Issued in HI
Practice address
2176 Lauwiliwili St Ste 1
Kapolei, HI 96707-1882
Phone
(808) 202-0919
NPI assigned
Mar 31, 2023
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 5006-0 HI Primary

Addresses

Primary practice location

2176 Lauwiliwili St Ste 1
Kapolei, HI 96707-1882

Mailing address

94-1185 Meleinoa PL # 24C
Waipahu, HI 96797-4112
Phone (808) 271-4371

Other practice location 1

94-1185 Meleinoa Pl # 24C
Waipahu, HI 96797-4112
Phone (808) 271-4371

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520001371 HI Practitioner - Clinical Social Worker 0042652232 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5006-0HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kapolei Counseling Center, LLC CurrentSince May 2, 2024 Accepting new patients

Locations

2176 Lauwiliwili St
Ste 1
Kapolei, HI 96707
Phone (808) 202-0919

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1013612985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1185 MELEINOA PL # 24C",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974112",
            "telephone_number": "808-271-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 LAUWILIWILI ST STE 1",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071882",
            "telephone_number": "808-202-0919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "94-1185 Meleinoa Pl # 24C",
            "address_purpose": "LOCATION",
            "city": "Waipahu",
            "state": "HI",
            "postal_code": "967974112",
            "country_code": "US",
            "telephone_number": "808-271-4371",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "CASSANDRA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "5006-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

Verify at the official NPI Registry.