Individual provider Active NPI

Elizabeth Joanne Rago, LCSW

  • Clinical Social Worker
  • Laie, HI
National Provider Identifier
1699989228
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3418 Issued in HI
Practice address
55-550 Naniloa Loop
#6318
Laie, HI 96762-1267
Phone
(808) 293-8100
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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 3418 HI Primary

Addresses

Primary practice location

55-550 Naniloa Loop
#6318
Laie, HI 96762-1267

Mailing address

55-550 Naniloa Loop
#6318
Laie, HI 96762-1267
Phone (808) 293-8100

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
I20220912002306 HI Practitioner - Clinical Social Worker 3971988981 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3418HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth J. Rago, LLC Clinical CurrentSince Apr 28, 2022 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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1699989228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-550 NANILOA LOOP",
            "address_2": "#6318",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621267",
            "telephone_number": "808-293-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-550 NANILOA LOOP",
            "address_2": "#6318",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621267",
            "telephone_number": "808-293-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGO",
        "first_name": "ELIZABETH",
        "middle_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laie, HI

Sources for this page

Verify at the official NPI Registry.