Individual provider · Type 1 NPI

Lisa KT Jicha, LCSW, CSAC

Clinical Social Worker · Mililani, HI

NPI number 1356515498 Active · reactivated Aug 24, 2017

Practice location

100 Kahelu Ave Ste 232
Mililani, HI 96789-3962

Call (808) 625-7448 Map

Mailing address

PO Box 893542
Mililani, HI 96789-0542

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X3246 (HI)

Clinical Social Worker: 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 interpers…

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About NPI 1356515498

Lisa KT Jicha, LCSW, CSAC's National Provider Identifier is 1356515498, issued on Apr 18, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mililani, HI. The record was last updated on Jan 4, 2026.