Active NPI
Lynda M. Wright, LCSW
- Clinical Social Worker
- Wailuku, HI
National Provider Identifier
1730397829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3080
- Practice address
- 2200 Main Street
Suite 505
Wailuku, HI 96793-1624 - Phone
- (808) 430-3176
- Fax
- (808) 878-2970
- NPI assigned
- May 20, 2007
- 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 | 3080 | HI | Primary |
Addresses
Primary practice location
2200 Main Street
Suite 505
Wailuku, HI 96793-1624
Mailing address
PO Box 1274
Kula, HI 96790-1274
Phone (808) 430-3176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 249963 | Medicaid | HI |
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, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1266 Lower Kimo Dr
Kula, HI 96790-8250
Phone (808) 430-3176
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3080 | HI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Follow Your Dreams Inc | Clinical | Current | Accepting new patients |
Locations
2200 Main St
Ste 505
Wailuku, HI 96793
Phone (808) 430-3176
33 Central Ave
Wailuku, HI 96793
Phone (808) 269-3404
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": "1179619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563667200000",
"number": "1730397829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1274",
"city": "KULA",
"state": "HI",
"postal_code": "967901274",
"telephone_number": "808-430-3176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 MAIN STREET",
"address_2": "SUITE 505",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931624",
"telephone_number": "808-430-3176",
"fax_number": "808-878-2970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "LYNDA",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-20",
"last_updated": "2019-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3080",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "249963",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2019; 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.