Active NPI
Coral Louise Barrilleaux, LCSW
- Clinical Social Worker
- Hilo, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3576
- Practice address
- 120 Keawa Street
Suite 204a
Hilo, HI 96720 - Phone
- (808) 756-2129
- NPI assigned
- Jul 15, 2009
- Last updated
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3576 | HI | Primary |
Addresses
Primary practice location
120 Keawa Street
Suite 204a
Hilo, HI 96720
Mailing address
PO Box 6231
Hilo, HI 96720-8924
Phone (808) 756-2129
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1178 Kinoole St
Hilo, HI 96720-7206
Phone (808) 333-3600
95-5583 Mamalahoa Hwy
Naalehu, HI 96772
Phone (808) 333-3600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3576 | HI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Hawaii Community Health Center, Inc. | Current | Accepting new patients | |
| West Hawaii Community Health Center, Inc. | Current | Accepting new patients |
Locations
1178 Kinoole St
Hilo, HI 96720
Phone (808) 961-4082
75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740
75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740
75-5751 Kuakini Hwy
Ste 203
Kailua Kona, HI 96740
Phone (808) 326-3878
16-192 Pili Mua St
Keaau, HI 96749
Phone (808) 930-0040
15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Kailua Kona, HI
- NPI 1952335630
-
dba Hawaii Island Community Health Center
- Federally Qualified Health Center (FQHC)
- Pahoa, HI
- NPI 1689814022
-
dba Hawaii Island Community Health Center
- Federally Qualified Health Center (FQHC)
- Pahoa, HI
- NPI 1861376907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1609006485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6231",
"city": "HILO",
"state": "HI",
"postal_code": "967208924",
"telephone_number": "808-756-2129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 KEAWA STREET",
"address_2": "SUITE 204A",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-756-2129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRILLEAUX",
"first_name": "CORAL",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-15",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.