Individual provider Active NPI

Ciro Dufrayer, LCSW

  • Clinical Social Worker
  • Keaau, HI
National Provider Identifier
1609388172
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4733 Issued in HI
Practice address
15-1729 23Rd Ave
Keaau, HI 96778
Phone
(929) 233-4275
NPI assigned
Oct 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-4733 HI Primary
Clinical Social Worker 1041C0700X 101896 NY

Addresses

Primary practice location

15-1729 23Rd Ave
Keaau, HI 96778

Mailing address

PO Box 321
Hilo, HI 96721-0321

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
I20220420000939 HI Practitioner - Clinical Social Worker 0547657678 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-4733HIMDClinical Social Worker
101896NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Hilo CurrentSince Feb 1, 2024 Accepting new patients
Pau Hana Counseling, LLC CurrentSince Feb 1, 2022 Accepting new patients
Hospice of Hilo Past Accepting new patients

Locations

224 Kamehameha Ave
Ste 201
Hilo, HI 96720
Phone (808) 825-4212

590 Kapiolani St
Hilo, HI 96720
Phone (808) 969-1733

1011 Waianuenue Ave
Hilo, HI 96720
Phone (808) 969-1733

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hospice of Hilo 3 clinicians

Practice addresses (Care Compare)

1011 Waianuenue Ave
Hilo, HI 96720-2019

590 Kapiolani St
Hilo, HI 96720-3926
Phone (808) 969-1733

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1609388172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 321",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967210321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-1729 23RD AVE",
            "city": "KEAAU",
            "state": "HI",
            "postal_code": "96778",
            "telephone_number": "929-233-4275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUFRAYER",
        "first_name": "CIRO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4733",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "101896",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keaau, HI

Sources for this page

Verify at the official NPI Registry.