Active NPI
Barbara Johnson, LCSW
- Clinical Social Worker
- Kapaa, HI
National Provider Identifier
1629005194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-3214
- Practice address
- 4800 Kawaihau Rd Ste D
Kapaa, HI 96746-1964 - Phone
- (808) 240-0186
- Fax
- (808) 822-9298
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- No
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 | LCSW-3214 | HI | Primary |
Addresses
Primary practice location
4800 Kawaihau Rd Ste D
Kapaa, HI 96746-1964
Mailing address
PO Box 3990
Lihue, HI 96766-6990
Phone (808) 240-0100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000251702 | Other | HI | HMSA |
| 523979 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1629005194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3990",
"city": "LIHUE",
"state": "HI",
"postal_code": "967666990",
"telephone_number": "808-240-0100",
"fax_number": "808-245-8867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 KAWAIHAU RD STE D",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461964",
"telephone_number": "808-240-0186",
"fax_number": "808-822-9298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "BARBARA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-3214",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "0000251702",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "523979",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kapaa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.