Individual provider Active NPI

Sharon Bibi Cisternas, LCSW

  • Clinical Social Worker
  • Honolulu, HI
National Provider Identifier
1912498924
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3938 Issued in HI
Practice address
963 Honokahua PL
Honolulu, HI 96825-3032
Phone
(808) 673-6284
Fax
(808) 394-2826
NPI assigned
May 24, 2018
Last updated
May 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X HI
Clinical Social Worker 1041C0700X 3938 HI Primary

Addresses

Primary practice location

963 Honokahua PL
Honolulu, HI 96825-3032

Mailing address

963 Honokahua PL
Honolulu, HI 96825-3032
Phone (808) 673-6284

Other names 1

  • Sharon Bibi Other name

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
I20191210001832 HI Practitioner - Clinical Social Worker 0648603365 Practice locations: Honolulu, HI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

963 Honokahua PL
Honolulu, HI 96825-3032
Phone (808) 394-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3938HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Cisternas Clinical CurrentSince May 19, 2024 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1912498924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 HONOKAHUA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253032",
            "telephone_number": "808-673-6284",
            "fax_number": "808-394-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 HONOKAHUA PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968253032",
            "telephone_number": "808-673-6284",
            "fax_number": "808-394-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISTERNAS",
        "first_name": "SHARON",
        "middle_name": "BIBI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "3938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHARON",
            "last_name": "BIBI",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.