Active NPI
Marisa K Lloyd, LCSW, CSAC
- Clinical Social Worker
- Honolulu, HI
National Provider Identifier
1861795726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-4131
- Practice address
- 460 Ena Rd Ste 505
Honolulu, HI 96815-1774 - Phone
- (415) 320-6697
- NPI assigned
- Dec 15, 2010
- Last updated
- Nov 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-61429 | CA | |
| Clinical Social Worker | 1041C0700X | LCSW-LW61509072 | WA | |
| Clinical Social Worker | 1041C0700X | LCSW-4131 | HI | Primary |
Addresses
Primary practice location
460 Ena Rd Ste 505
Honolulu, HI 96815-1774
Mailing address
460 Ena Rd Ste 505
Honolulu, HI 96815-1774
Phone (415) 320-6697
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-61429 | CA | MD | Clinical Social Worker |
| LCSW-4131 | HI | MD | Clinical Social Worker |
| LCSW-LW61509072 | WA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marisa Lloyd, LLC | Current | Accepting new patients |
Locations
460 Ena Rd
Ste 505
Honolulu, HI 96815
Phone (415) 320-6697
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Honolulu, HI
- NPI 1366268088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1861795726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 ENA RD STE 505",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151774",
"telephone_number": "415-320-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 ENA RD STE 505",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151774",
"telephone_number": "415-320-6697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LLOYD",
"first_name": "MARISA",
"middle_name": "K",
"name_prefix": "Ms.",
"credential": "LCSW, CSAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-15",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW-61429",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "LCSW-LW61509072",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-4131",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwest.kp.org:14430/interconnect-prodhim/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "94-1480 Moaniani St",
"city": "Waipahu",
"state": "HI",
"country_code": "US",
"postal_code": "967974632",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.