Individual provider Active NPI

Alissa Schneider Berg, LCSW

  • Clinical Social Worker
  • Mililani, HI
National Provider Identifier
1942858113
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW4454 Issued in HI
Practice address
94-124 Anania Dr Apt 201
Mililani, HI 96789-2015
Phone
(808) 728-0514
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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 LCSW4454 HI Primary

Addresses

Primary practice location

94-124 Anania Dr Apt 201
Mililani, HI 96789-2015

Mailing address

94-124 Anania Dr Apt 201
Mililani, HI 96789-2015
Phone (808) 728-0514

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW4454HIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Child and Family Service CurrentSince Nov 11, 2024 Accepting new patients

Locations

95-1091 Ainamakua Dr
Mililani, HI 96789
Phone (808) 204-4020

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1942858113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-124 ANANIA DR APT 201",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892015",
            "telephone_number": "808-728-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-124 ANANIA DR APT 201",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967892015",
            "telephone_number": "808-728-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER BERG",
        "first_name": "ALISSA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW4454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mililani, HI

Sources for this page

Verify at the official NPI Registry.