Individual provider Active NPI

Margaret Embick, LCSW, RDT

  • Clinical Social Worker
  • Kailua, HI
National Provider Identifier
1073145280
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4989-0 Issued in HI
Practice address
412A Maluniu Ave
Kailua, HI 96734-5815
Phone
(312) 883-3996
NPI assigned
Feb 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 150.104159 IL
Clinical Social Worker 1041C0700X LCSW-4989-0 HI Primary

Addresses

Primary practice location

412A Maluniu Ave
Kailua, HI 96734-5815

Mailing address

412A Maluniu Ave
Kailua, HI 96734-5815
Phone (312) 883-3996

Other practice location 1

2835 N Sheffield Ave Ste 304
Chicago, IL 60657-5084
Phone (630) 866-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 28, 2023 through Aug 28, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
150.104159ILMDSocial Worker
LCSW-4989-0HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Maggie Embick LCSW LLC CurrentSince Sep 5, 2023 Accepting new patients

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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1073145280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412A MALUNIU AVE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345815",
            "telephone_number": "312-883-3996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412A MALUNIU AVE",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967345815",
            "telephone_number": "312-883-3996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 N Sheffield Ave Ste 304",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575084",
            "country_code": "US",
            "telephone_number": "630-866-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMBICK",
        "first_name": "MARGARET",
        "credential": "LCSW, RDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.104159",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4989-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

Verify at the official NPI Registry.