Michael N Lag, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4152 Issued in HI

Practice address

105 N Market St Ste 102
Wailuku, HI 96793-1752

Phone

(808) 856-3149

Fax

(808) 242-1469

NPI assigned

May 1, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Mike Lag Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mental Health Kokua

  • Case Management Agency
  • Honolulu, HI
  • NPI 1114218625

  Clinical

  NPD (past)

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1386902930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 N MARKET ST STE 102",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931752",
            "telephone_number": "808-856-3149",
            "fax_number": "808-242-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MARKET ST STE 102",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931752",
            "telephone_number": "808-856-3149",
            "fax_number": "808-242-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAG",
        "first_name": "MICHAEL",
        "middle_name": "N",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "1678",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "4152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "LAG",
            "credential": "L.C.S.W.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marcus Aleksander Kuikka, MBBS
• Leigh K Kupo, LMT
• Yasmin Kurdi
• Karla KN Kurokawa, DPT
• Gordon Labedz, MD
• Ilan Lagnado, LMT
• Keren T Lahat, L.AC.
• Avani R. Lakhani, MD
• Reshma Lalwani, PA-C
• Paul Matthew Lamberti, MD

• Clinical Social Worker in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Clinical Social Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.