Individual provider Active NPI

Lynda M. Wright, LCSW

  • Clinical Social Worker
  • Wailuku, HI
National Provider Identifier
1730397829
Registry record updated Jul 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3080 Issued in HI
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

Updated by the provider on Jul 21, 2019

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 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

IdentifierTypeStateIssuer
249963MedicaidHI

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
I20040628001523 HI Practitioner - Clinical Social Worker 1355327487 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
3080HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Follow Your Dreams Inc Clinical CurrentSince May 14, 2003 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

Verify at the official NPI Registry.