Healthcare Provider Details

I. General information

NPI: 1962421875
Provider Name (Legal Business Name): SARA L HILL LCSW, CSAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BLDG 556 HEARD STREET ASACS OFFICE
WAHIAWA HI
96857
US

IV. Provider business mailing address

PO BOX 893938
MILILANI HI
96789-0938
US

V. Phone/Fax

Practice location:
  • Phone: 808-655-5080
  • Fax: 808-655-6934
Mailing address:
  • Phone: 808-655-5080
  • Fax: 808-655-6934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCSAC-1020-00
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW 3128
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: