Active NPI
Priscilla T Lee, LCSW
- Clinical Social Worker
- Hilo, HI
National Provider Identifier
1164592598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3252
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000228148 | Other | HI | HMSA QUEST |
| 492405-01 | Other | HI | ALOHA CARE |
| 569147-01 | Medicaid | HI | |
| 990189021 | Other | HI | TRIWEST HEALTH ALLIANCE |
| 0000228148 | Other | HI | HMSA COMMERCIAL |
| 0601130012 | Other | HI | HMAA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3252 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Hilo, HI
- NPI 1841794807
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.