REGINA A DEGRAW


Address: 2301 West Thomas Road, Phoenix, AZ 85015
Phone: 6022573883

REGINA A DEGRAW (NPI# 1285855072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285855072
Entity Type Individual
Full Name REGINA A DEGRAW
Credential LCSW
Practice Address 2301 West Thomas Road
Phoenix
AZ 85015
Mailing Address 127 West Georgia Avenue
Phoenix
AZ 85013
Practice Telephone 6022573883
Practice Fax Number 6022573881
Mailing Telephone 6022644396
Enumeration Date 2007-05-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
LCSW-0986 AZ Behavioral Health & Social Service Providers

Office Location

Street Address 2301 WEST THOMAS ROAD
City PHOENIX
State AZ
Zip Code 85015

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1295160380 Journey To Prosperity Custodial Care Facility 1623 W Denton, Phoenix, AZ 85015 2013-09-07
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1689933947 Modern Dental Professionals - Arizona PC Dentist 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 2012-05-08
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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326251919 Nicolle Therese Habeger Social Worker 804 N. 18th Street, Phoenix, AZ 85006 2007-05-08
1912128745 Timothy George Spence Social Worker 735 East Fillmore, Phoenix, AZ 85006 2007-05-01
1730211517 Sandra Lynn Irwin Social Worker 7502 N 39th Ave, Phoenix, AZ 85051-6417 2007-03-09
1689700320 Mary Vargas Lopez Social Worker 2920 N 34th Dr, Phoenix, AZ 85017-5250 2007-02-26
1659406841 Florence Anne Simcoe Perry Social Worker 2920 North 34th Drive, Phoenix, AZ 85017 2007-02-21
1811355480 Wendy Lieberman Social Worker 1102 W Highland Ave, Phoenix, AZ 85013-2470 2016-02-10
1851716757 Detza Ericka Van Bogaert Social Worker 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2014-02-28
1295159069 Randi Renee Cooper Social Worker 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2014-02-13
1710300066 Nora Elizabeth O'connell Social Worker 2929 E Thomas Rd, Phoenix, AZ 85016-8034 2014-01-22
1750615902 Silvia Mora Social Worker 4229 N 16th St, Phoenix, AZ 85016-5318 2009-09-21
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Competitor

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City PHOENIX
Zip Code 85015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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