STACY HAUNANI TAN LCSW
NPI 1952827438
Social Worker - Clinical in Wailuku, HI

Active since August 16, 2017PECOS Enrolled
55 MAUI LANI PKWY, WAILUKU, HI 96793(808) 243-6000 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacy Haunani Tan Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY HAUNANI TAN LCSW (NPI 1952827438) is an individual clinical provider in Wailuku, Hawaii, licensed in Hawaii (3724) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952827438
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSTACY HAUNANI TANCredential: LCSW
Location Address55 MAUI LANI PKWYWailuku, HI 96793-2416
Mailing Address265 Ohaoha PlMakawao, HI 96768-7709 · (808) 352-3525
Sole ProprietorYes
Enumeration DateAugust 16, 2017
NPI 1952827438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in HI · 3724
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

55 MAUI LANI PKWY, Wailuku, HI 96793

Other Names 1

Former Name (1)Stacy Haunani Terashita Lcsw

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Stacy Haunani Tan Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

New Patient
$0.00 typical visit price
range $60.53 – $180.05
Typical copayment $0.00 (range $15.13 – $45.01)
Most-billed visit code NA
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist
55 MAUI LANI PKWY
WAILUKU, HI 96793
Pharmacist
55 MAUI LANI PKWY, MLN PHARMACY
WAILUKU, HI 96793
Pharmacist
55 MAUI LANI PKWY
WAILUKU, HI 96793
Pharmacy (Managed Care Organization Pharmacy)
55 MAUI LANI PKWY
WAILUKU, HI 96793
Social Worker (Clinical)
55 MAUI LANI PKWY
WAILUKU, HI 96793
Nurse Practitioner
55 MAUI LANI PKWY
WAILUKU, HI 96793
Clinical Nurse Specialist
55 MAUI LANI PKWY
WAILUKU, HI 96793
Family Medicine
55 MAUI LANI PKWY
WAILUKU, HI 96793

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952827438, enumerated as an "individual" on August 16, 2017.

The provider is located at 55 MAUI LANI PKWY WAILUKU, HI 96793 and the phone number is (808) 243-6000.

Social Worker with taxonomy code 1041C0700X and a focus in Clinical.