Lisa Kt Jicha, LCSW, CSAC
NPI 1356515498ActiveIndividual· Social Worker, Clinical· Mililani, HI
Social Worker, Clinical (LCSW, CSAC) with Gina Leong Samala Psyd Inc, practicing in Mililani, Hawaii. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1356515498 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW, CSAC |
| Sole proprietor | No |
| NPI issued | Apr 18, 2008 |
| Last updated in NPPES | Jan 4, 2026 |
| Certified by provider | Jan 4, 2026 |
| Reactivated | Aug 24, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 3246 | HI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (HI) |
|---|
Education and affiliations
| Graduation year | 1998 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Gina Leong Samala Psyd IncMililani, HI · 3 clinicians
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All 28 clinical social workers in Mililani · All clinical social workers in Hawaii