Individual provider Active NPI

Angela Lim, LICSW

  • Clinical Social Worker
  • Lihue, HI
National Provider Identifier
1104336619
Registry record updated Oct 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LW00008138 Issued in WA
Practice address
4485 Pahee St Ste 150
Lihue, HI 96766-2018
Phone
(808) 246-0497
Fax
(808) 246-9349
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LW00008138 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

4485 Pahee St Ste 150
Lihue, HI 96766-2018

Mailing address

4485 Pahee St Ste 150
Lihue, HI 96766-2018
Phone (808) 246-0497

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 10, 2017.

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507593600000",
    "number": "1104336619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 PAHEE ST STE 150",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662018",
            "telephone_number": "808-246-0497",
            "fax_number": "808-246-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 PAHEE ST STE 150",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967662018",
            "telephone_number": "808-246-0497",
            "fax_number": "808-246-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIM",
        "first_name": "ANGELA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00008138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.