Active NPI
Andrew L Scott III, LCSW, CSAC
- Mental Health Counselor
- Mililani, HI
National Provider Identifier
1770886913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LCSW 3640
- Practice address
- 95-652 Hanile St
D107
Mililani, HI 96789-4629 - Phone
- (808) 277-6130
- NPI assigned
- Dec 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CSAC 1283-06 | HI | |
| Mental Health Counselor | 101YM0800X | LCSW 3640 | HI | Primary |
Addresses
Primary practice location
95-652 Hanile St
D107
Mililani, HI 96789-4629
Mailing address
95-652 Hanile St
D107
Mililani, HI 96789-4629
Phone (808) 277-6130
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CSAC 1283-06 | HI | MD | Addiction (Substance Use Disorder) Counselor |
| LCSW 3640 | HI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1770886913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-652 HANILE ST",
"address_2": "D107",
"city": "MILILANI",
"state": "HI",
"postal_code": "967894629",
"telephone_number": "808-277-6130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-652 HANILE ST",
"address_2": "D107",
"city": "MILILANI",
"state": "HI",
"postal_code": "967894629",
"telephone_number": "808-277-6130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOTT",
"first_name": "ANDREW",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "III",
"credential": "LCSW, CSAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-09",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "HI",
"license": "CSAC 1283-06",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "HI",
"license": "LCSW 3640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.