Individual provider Active NPI

Ailene Schwartzlow

  • Clinical Social Worker
  • Lahaina, HI
National Provider Identifier
1023426558
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4630 Issued in HI
Practice address
1760 Honoapiilani Hwy Unit 12123
Lahaina, HI 96761-5085
Phone
(808) 463-4934
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 19, 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 LCSW-4630 HI Primary

Addresses

Primary practice location

1760 Honoapiilani Hwy Unit 12123
Lahaina, HI 96761-5085

Mailing address

PO Box 12123
Lahaina, HI 96761-7123
Phone (808) 463-4934

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
I20231110001885 HI Practitioner - Clinical Social Worker 8224485305 Reassigns benefits to 1 organization
Receives reassigned benefits from 3 practitioners
Practice locations: Lahaina, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maui Healing LLCGroup PAC ID 1052844099, 2 clinicians

Practice addresses (Care Compare)

Lahaina, HI 96761
Phone (808) 463-4934

1760 Honoapiilani Hwy
Unit 12123
Lahaina, HI 96761-5085
Phone (808) 463-4934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-4630HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maui Healing LLC Mental Health CurrentSince Aug 14, 2024 Accepting new patients

Locations

1760 Honoapiilani Hwy
Unit 12123
Lahaina, HI 96761
Phone (808) 463-4934

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1023426558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12123",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967617123",
            "telephone_number": "808-463-4934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 HONOAPIILANI HWY UNIT 12123",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967615085",
            "telephone_number": "808-463-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZLOW",
        "first_name": "AILENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

Verify at the official NPI Registry.