Individual provider Active NPI

Chany Hamilton

  • Clinical Social Worker
  • Lihue, HI
National Provider Identifier
1447502752
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW - 4104 Issued in HI
Practice address
2975 Haleko Rd Ste 304
Lihue, HI 96766-1366
Phone
(808) 212-5966
NPI assigned
Oct 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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 - 4104 HI Primary

Addresses

Primary practice location

2975 Haleko Rd Ste 304
Lihue, HI 96766-1366

Mailing address

4547 Panihi Rd
Kapaa, HI 96746-1649
Phone (808) 212-5966

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
I20250217001567 HI Practitioner - Clinical Social Worker 4880124171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4-1461 Kuhio Hwy
Kapaa, HI 96746-1715
Phone (808) 212-5966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW - 4104HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Health & Healing Partners LLC Clinical CurrentSince Dec 28, 2024 Accepting new patients

Locations

4-1461 Kuhio Hwy
Kapaa, HI 96746
Phone (808) 212-5966

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.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1447502752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4547 PANIHI RD",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461649",
            "telephone_number": "808-212-5966",
            "fax_number": "877-681-5297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 HALEKO RD STE 304",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661366",
            "telephone_number": "808-212-5966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMILTON",
        "first_name": "CHANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW - 4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.