Individual provider Active NPI

Alicia Noel Lazenby

  • Clinical Social Worker
  • Volcano, HI
National Provider Identifier
1225548365
Registry record updated Aug 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4916 Issued in HI
Practice address
11-2484 Kaleponi Dr.
Volcano, HI 96785
Phone
(551) 252-5152
NPI assigned
Oct 3, 2017
Last updated
Aug 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2025

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-4916 HI Primary

Addresses

Primary practice location

11-2484 Kaleponi Dr.
Volcano, HI 96785

Mailing address

16-566 Keaau Pahoa Rd Ste 188-805
Keaau, HI 96749-8137

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
I20250916003186 HI Practitioner - Clinical Social Worker 1254835010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11 -2484 Kaleponi Dr
Volcano, HI 96785

16 -566 Keaau Pahoa Rd
Suite 188 805
Keaau, HI 96749-8142

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gentle River Healing LLC CurrentSince Mar 20, 2025 Accepting new patients
Mental Health Specialty Group PA CurrentSince Sep 3, 2025 Accepting new patients

Locations

500 Ala Moana Blvd
Ste 7400
Honolulu, HI 96813
Phone (617) 823-6490

16-566 Keaau Pahoa Rd
Ste 188805
Keaau, HI 96749

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": "1506988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1225548365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16-566 KEAAU PAHOA RD STE 188-805",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "967498137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11-2484 KALEPONI DR.",
            "city": "VOLCANO",
            "state": "HI",
            "postal_code": "96785",
            "telephone_number": "551-252-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAZENBY",
        "first_name": "ALICIA",
        "middle_name": "NOEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-03",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Volcano, HI

Sources for this page

Verify at the official NPI Registry.