=====================================================
General NPI Number Information
=====================================================
NPI Number | 1972487015
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LAHMANN LCSW LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/01/2025
-----------------------------------------------------
Last Update Date | 08/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2-2514 KAUMUALII HWY STE 205
-----------------------------------------------------
City | KALAHEO
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96741-8304
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-728-0369
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1401
-----------------------------------------------------
City | LIHUE
-----------------------------------------------------
State | HI
-----------------------------------------------------
Zip | 96766-5401
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JILL LAHMANN
-----------------------------------------------------
Credential | LCSW
-----------------------------------------------------
Telephone | 360-259-9223
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------