Individual provider Active NPI

Lisa A Taniguchi, LCSW

  • Clinical Social Worker
  • Waimea, HI
National Provider Identifier
1225209869
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-3475 Issued in HI
Practice address
4643B Waimea Canyon Drive
Waimea, HI 96796
Phone
(808) 240-0155
Fax
(808) 245-4146
NPI assigned
Mar 21, 2008
Last updated
Mar 21, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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 LCSW-3475 HI Primary

Addresses

Primary practice location

4643B Waimea Canyon Drive
Waimea, HI 96796

Mailing address

PO Box 3990
Lihue, HI 96766-6990
Phone (808) 240-0155

Other identifiers 1

IdentifierTypeStateIssuer
523979-01MedicaidHI

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
I20080328000264 HI Practitioner - Clinical Social Worker 5597841700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoola Lahui HawaiiGroup PAC ID 2860303021, 12 clinicians

Practice addresses (Care Compare)

4643 Waimea Canyon Dr
Waimea, HI 96796
Phone (808) 338-1855

PO Box
Suite 487
Waimea, HI 96796

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-3475HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hoola Lahui Hawaii CurrentSince Jul 25, 2023 Accepting new patients
Hoola Lahui Hawaii CurrentSince Jul 25, 2023 Accepting new patients

Networks

  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206057600000",
    "number": "1225209869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3990",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967666990",
            "telephone_number": "808-240-0155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643B WAIMEA CANYON DRIVE",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "808-240-0155",
            "fax_number": "808-245-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIGUCHI",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-21",
        "last_updated": "2008-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523979-01",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimea, HI

Sources for this page

Verify at the official NPI Registry.