Individual provider Active NPI

Priscilla T Lee, LCSW

  • Clinical Social Worker
  • Hilo, HI
National Provider Identifier
1164592598
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3252 Issued in HI
Practice address
56 Waianuenue Ave Ste 208
Hilo, HI 96720-2474
Phone
(808) 969-9211
Fax
(808) 969-9211
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 3252 HI Primary

Addresses

Primary practice location

56 Waianuenue Ave Ste 208
Hilo, HI 96720-2474

Mailing address

56 Waianuenue Ave Ste 208
Hilo, HI 96720-2474
Phone (808) 969-9211

Other identifiers 6

IdentifierTypeStateIssuer
0000228148OtherHIHMSA QUEST
492405-01OtherHIALOHA CARE
569147-01MedicaidHI
990189021OtherHITRIWEST HEALTH ALLIANCE
0000228148OtherHIHMSA COMMERCIAL
0601130012OtherHIHMAA

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
I20051018000546 HI Practitioner - Clinical Social Worker 1355367509 Practice locations: Hilo, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Aupuni St
Suite 213
Hilo, HI 96720-4221
Phone (808) 969-9211

PO Box
Suite 7085
Hilo, HI 96720-8939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3252HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ke Alaula, Inc. Current Accepting new patients

Locations

101 Aupuni St
Ste 213
Hilo, HI 96720
Phone (808) 969-9211

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164592598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 WAIANUENUE AVE STE 208",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202474",
            "telephone_number": "808-969-9211",
            "fax_number": "808-969-9211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 WAIANUENUE AVE STE 208",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202474",
            "telephone_number": "808-969-9211",
            "fax_number": "808-969-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "PRISCILLA",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST",
            "identifier": "0000228148",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "492405-01",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "569147-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST HEALTH ALLIANCE",
            "identifier": "990189021",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA COMMERCIAL",
            "identifier": "0000228148",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMAA",
            "identifier": "0601130012",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.