Individual provider Active NPI

Andrea Carolyn Plasko, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1093064115
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4658 Issued in HI
Practice address
735 Bishop St Ste 415
Honolulu, HI 96813-4824
Phone
(609) 933-7709
NPI assigned
Sep 5, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 086209 NY
Clinical Social Worker 1041C0700X LCSW-4658 HI Primary

Addresses

Primary practice location

735 Bishop St Ste 415
Honolulu, HI 96813-4824

Mailing address

735 Bishop St Ste 415
Honolulu, HI 96813-4824
Phone (609) 933-7709

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
I20230418000209 HI Practitioner - Clinical Social Worker 4284009663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

735 Bishop St
Suite 415
Honolulu, HI 96813-4824
Phone (808) 481-7589

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
086209NYMDSocial Worker
LCSW-4658HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychotherapy Hawaii Clinical CurrentSince Mar 18, 2023 Accepting new patients

Locations

735 Bishop St
Ste 415
Honolulu, HI 96813
Phone (609) 933-7709

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": "1346803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1093064115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 BISHOP ST STE 415",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134824",
            "telephone_number": "609-933-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 BISHOP ST STE 415",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134824",
            "telephone_number": "609-933-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASKO",
        "first_name": "ANDREA",
        "middle_name": "CAROLYN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-05",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "086209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.