Active NPI
Lisa M Oliveira-Tua, LCSW
- Clinical Social Worker
- Wailuku, HI
National Provider Identifier
1912047192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-3288
- Practice address
- 55 Mauilani Pkwy
Wailuku, HI 96793-2416 - Phone
- (808) 243-6050
- NPI assigned
- Feb 7, 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 | LCSW-3288 | HI | Primary |
Addresses
Primary practice location
55 Mauilani Pkwy
Wailuku, HI 96793-2416
Mailing address
55 Mauilani Pkwy
Wailuku, HI 96793-2416
Phone (808) 243-6050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000255505 | Other | HI | HMSA BILLING NUMBER |
| 57594601 | Medicaid | HI |
Other names 1
- Lisa M Oliveira
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-3288 | HI | MD | Clinical Social Worker |
| 3288 | HI | MD | Computed Tomography Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1912047192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MAUILANI PKWY",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932416",
"telephone_number": "808-243-6050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MAUILANI PKWY",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932416",
"telephone_number": "808-243-6050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVEIRA-TUA",
"first_name": "LISA",
"middle_name": "M",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "LCSW-3288",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA BILLING NUMBER",
"identifier": "0000255505",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "57594601",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "OLIVEIRA",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.