Individual provider Active NPI

Lisa Ann Chilson-McCraw, MSW,LCSW, CSAC

  • Clinical Social Worker
  • Kaneohe, HI
National Provider Identifier
1861086423
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-4636 Issued in HI
Practice address
45-167 Ikenakai St
Kaneohe, HI 96744-5332
Phone
(808) 825-2587
NPI assigned
Feb 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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 LCSW-4636 HI Primary

Addresses

Primary practice location

45-167 Ikenakai St
Kaneohe, HI 96744-5332

Mailing address

45-167 Ikenakai St
Kaneohe, HI 96744-5332
Phone (808) 825-2587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: No
  • 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
I20220808002272 HI Practitioner - Clinical Social Worker 5395127377 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center Hawaii CurrentSince Apr 1, 2024 Accepting new patients
Pau Hana Counseling, LLC CurrentSince Apr 15, 2022 Accepting new patients

Locations

224 Kamehameha Ave
Ste 201
Hilo, HI 96720
Phone (808) 825-4212

1020 S Beretania St
Honolulu, HI 96814
Phone (808) 545-2740

Organizations & group practices 2

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": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1861086423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-167 IKENAKAI ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445332",
            "telephone_number": "808-825-2587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-167 IKENAKAI ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967445332",
            "telephone_number": "808-825-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILSON-MCCRAW",
        "first_name": "LISA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW,LCSW, CSAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-4636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

Verify at the official NPI Registry.