Individual provider Active NPI

Gretchen Piskura, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1467770313
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-3508 Issued in HI
Practice address
3255 Lamaloa PL
Honolulu, HI 96816-2535
Phone
(808) 282-0939
NPI assigned
May 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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-3508 HI Primary

Addresses

Primary practice location

3255 Lamaloa PL
Honolulu, HI 96816-2535

Mailing address

3255 Lamaloa PL
Honolulu, HI 96816-2535
Phone (808) 282-0939

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
I20110223001077 HI Practitioner - Clinical Social Worker 4486835451 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1109 12TH Ave
Suite 201
Honolulu, HI 96816-3714
Phone (808) 282-0939

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David H. Friar, M.D., LLC Past Accepting new patients

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": "1273968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1467770313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3255 LAMALOA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162535",
            "telephone_number": "808-282-0939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3255 LAMALOA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162535",
            "telephone_number": "808-282-0939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISKURA",
        "first_name": "GRETCHEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-16",
        "last_updated": "2023-12-06",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.