Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa Kt Jicha, LCSW, CSAC

Individual provider Clinical Social Worker · NPI 1356515498

Lisa Kt Jicha, LCSW, CSAC is a Clinical Social Worker in Mililani, Hawaii. Qualified in 1998, 28 years ago. Practices with Gina Leong Samala PSYD Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Hawaii.

Years since qualifying
28
Licensed in
HI
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

100 Kahelu Ave Ste 232
Mililani, HI 96789-3962
Phone: (808) 625-7448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 3246 (HI)

Record details

NPI number1356515498
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CSAC
Sole proprietorNo
NPI enumeratedApril 18, 2008
Last updated in NPPESJanuary 4, 2026
Certification dateJanuary 4, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Gina Leong Samala Psyd Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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