CONNIE J DEBORD LCSW
NPI 1699964775
Social Worker - Clinical in Wailuku, HI
About Connie J Debord Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNIE J DEBORD LCSW (NPI 1699964775) is an individual clinical provider in Wailuku, Hawaii, licensed in Hawaii (LCSW-3406) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1990).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Connie J Debord Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Connie Debord reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wailuku, HI 96793
- Reassigned Medicare billing, Hawaii enrollment
- 206 clinicians in this Medicare group
Kahului, HI 96732
- Reassigned Medicare billing, Hawaii enrollment
- 23 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 96793 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Connie Debord's NPI number?
The NPI number for Connie Debord is 1699964775. It was assigned to this individual provider in the NPPES registry on October 15, 2007. The provider is also known as Connie J Scott / Debord-Prickett.
Where is Connie Debord located?
Connie Debord practices at 80 Mahalani St, Wailuku, HI 96793. The listed phone number is (808) 243-6000.
What is Connie Debord's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Connie Debord enrolled in Medicare?
Yes. Connie Debord is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Connie Debord's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connie Debord reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan (Wailuku, HI) and Aloha House, Inc. (Kahului, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Connie Debord's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connie Debord accept?
Health plans from HMSA list Connie Debord as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Connie Debord was last updated on October 15, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Connie J Debord, LCSW · NPI 1699964775
Clinical provider in Wailuku, Hawaii. Individual provider, active in the CMS NPPES registry since October 15, 2007.
## Identity
- **NPI:** 1699964775 (Entity type: Individual)
- **Enumerated:** October 15, 2007
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LCSW-3406 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 80 MAHALANI ST, Wailuku, HI 96793-2531
- **Phone:** (808) 243-6000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan (NPI 1700980364, Wailuku, HI); Aloha House, Inc. (NPI 1972647477, Kahului, HI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1990
## Record status
- **NPPES last updated:** October 15, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1699964775) · Data from the CMS NPPES public registry.