Cassandra Castillo, LCSW
Individual provider Active NPI Clinical Social Worker · Kapolei, HI
NPI 1013612985 · NPPES record last updated Apr 25, 2024
Key facts
- NPI
- 1013612985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5006-0 (HI)
- Practice address
- 2176 Lauwiliwili St Ste 1
Kapolei, HI 96707-1882 - Phone
- (808) 202-0919
- NPI assigned
- Mar 31, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240520001371 | HI | Practitioner - Clinical Social Worker | 0042652232 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5006-0 | HI | MD | Clinical Social Worker |
Practice roles (1 of 3)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kapolei Counseling Center, LLC | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5006-0 | HI | Yes |
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
Other providers in Kapolei, HI
- Lona Carreira
- Caleb Benjamin Carson
- Tynisa Carter
- Metodia Castanares
- Anthony Castillo
- Noe Daniel Castillo
- Yuri M. Castro
- Krista Erica Catafago
- Angela Momilani Santiago Catekista
- Dora Causey-Wilson
All providers in Kapolei, HI · Clinical Social Worker in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.