Individual provider Active NPI

Lori Loftin, LCSW

  • Clinical Social Worker
  • Kurtistown, HI
National Provider Identifier
1336805746
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2751 Issued in HI
Practice address
16-1689 Uau Road
Kurtistown, HI 96760-9676
Phone
(808) 854-6138
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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 2751 HI Primary

Addresses

Primary practice location

16-1689 Uau Road
Kurtistown, HI 96760-9676

Mailing address

PO Box 14
Kurtistown, HI 96760
Phone (808) 854-6138

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Kurtistown Direct

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
I20240123001880 HI Practitioner - Clinical Social Worker 6002268398 Practice locations: Kurtistown, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Kurtistown, HI 96760
Phone (808) 854-6138

PO Box
Suite 14
Kurtistown, HI 96760-0014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2751HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trueyou Therapy CurrentSince Feb 12, 2023 Accepting new patients
Sirius Research Group Inc Clinical Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1336805746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14",
            "city": "KURTISTOWN",
            "state": "HI",
            "postal_code": "96760",
            "telephone_number": "808-854-6138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16-1689 UAU ROAD",
            "city": "KURTISTOWN",
            "state": "HI",
            "postal_code": "967609676",
            "telephone_number": "808-854-6138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIN",
        "first_name": "LORI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2021-11-10",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "2751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Kurtistown",
            "affiliation": "N",
            "endpointDescription": "clinical",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "16-1689 Uau road",
            "city": "Kurtistown",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967609676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kurtistown, HI

Sources for this page

Verify at the official NPI Registry.