CONNIE REGAN (NPI# 1538391123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538391123 |
| Entity Type | Individual |
| Full Name | CONNIE REGAN |
| Credential | LCSW |
| Practice Address |
4100 Mamie St Hattiesburg MS 39402-1735 |
| Mailing Address |
141 Willow Brook Dr Hattiesburg MS 39402-1488 |
| Practice Telephone | 6017051901 |
| Mailing Telephone | 6017051901 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2015-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | C1017 | MS | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | C1017 | MS | Behavioral Health & Social Service Providers |
| Street Address |
4100 MAMIE ST |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831321686 | Kimberly A Dykes | Social Worker | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-12 |
| 1427666882 | Judy Thornton | Registered Nurse | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2020-07-21 |
| 1043615313 | Marian Allen | Social Worker | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2014-10-29 |
| 1023363173 | Kelechi Nnamdi Emereonye | Psychiatry & Neurology | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2012-07-16 |
| 1831321124 | Linell Henderson | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-20 |
| 1205068590 | Michael Digulimio | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-20 |
| 1891927562 | Jillian N Evans | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-14 |
| 1003048778 | Frances L Miller | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-14 |
| 1073745741 | Tiffani N Jones | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-14 |
| 1801028584 | Doris A Minor | Counselor | 4100 Mamie St, Hattiesburg, MS 39402-1735 | 2009-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1265955090 | Brandi Hatton | Social Worker | 701 W Pine St, Hattiesburg, MS 39401-3837 | 2017-07-24 |
| 1306202452 | Laurie Ellen Risher | Social Worker | 208 Alcorn Ave, Hattiesburg, MS 39401-2756 | 2016-01-05 |
| 1831797406 | Crawford & Crawford Counseling | Social Worker | 34 Millbranch Rd Ste 60, Hattiesburg, MS 39402-1687 | 2020-10-15 |
| 1336759299 | Tiah Boyd | Social Worker | 11 Woodstone Plz Ste D, Hattiesburg, MS 39402-8342 | 2020-08-05 |
| 1689229890 | Jasmine Naylor | Social Worker | 11 Woodstone Plz Ste D, Hattiesburg, MS 39402-8342 | 2019-08-05 |
| 1609429083 | Emily Goff Dixon | Social Worker | 415 S 28th Ave Fl 1, Hattiesburg, MS 39401-7246 | 2019-07-24 |
| 1386154243 | Martia Moffett | Social Worker | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2017-10-05 |
| 1487163382 | Hiroko Swanigan | Social Worker | 105 Asbury Cir, Hattiesburg, MS 39402-1397 | 2017-09-22 |
| 1912420720 | Katelin Holmes | Social Worker | 103 S 19th Ave, Hattiesburg, MS 39401-6171 | 2017-07-24 |
| Find all providers in HATTIESBURG | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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| 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.