REGENIA HUBBARD


Address: 11130 Capital Blvd, Wake Forest, NC 27587-4513
Phone: 9194884094

REGENIA HUBBARD (NPI# 1952654311) 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) 1952654311
Entity Type Individual
Full Name REGENIA HUBBARD
Credential LCSW-A
Practice Address 11130 Capital Blvd
Wake Forest
NC 27587-4513
Mailing Address 260 Horizon Dr
Raleigh
NC 27615-4922
Practice Telephone 9194884094
Practice Fax Number 9194884096
Mailing Telephone 9194880015
Mailing Fax Number 9192770066
Enumeration Date 2012-10-23
Last Update Date 2015-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
P007473 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC LICENSE COO9113 01

Office Location

Street Address 11130 CAPITAL BLVD
City WAKE FOREST
State NC
Zip Code 27587-4513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356332910 Carolee Ann Rule Pediatrics 11130 Capital Blvd, Wake Forest, NC 27587-4513 2005-11-02
1245651686 Growing Child Pediatrics, Pa Pharmacy 11130 Capital Blvd, Wake Forest, NC 27587 2014-01-03
1578808978 Connie Marija Horne Counselor 11130 Capital Blvd, Wake Forest, NC 27587-4513 2012-12-11
1144500307 Julie Marie Lajoe Counselor 11130 Capital Blvd, Wake Forest, NC 27587-4513 2011-08-19
1073827481 Growing Child Office Meds Inc Pharmacy 11130 Capital Blvd, Wake Forest, NC 27587-4513 2010-07-28
1487883781 Growing Child Pediatrics, Pa Psychologist 11130 Capital Blvd, Wake Forest, NC 27587-4513 2009-07-08
1932353059 Megan M Miller Nurse Practitioner 11130 Capital Blvd, Wake Forest, NC 27587-4513 2008-11-17
1255592960 Amber Swift Holton Counselor 11130 Capital Blvd, Wake Forest, NC 27587-4513 2008-06-24
1215118070 Colleen Parrish Nurse Practitioner 11130 Capital Blvd, Wake Forest, NC 27587-4513 2007-11-21
1639350499 Sarah A Noland Social Worker 11130 Capital Blvd, Wake Forest, NC 27587-4513 2007-11-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831713080 Catherine Restrepo Speech-Language Pathologist 900 S Franklin St, Ste 201, Wake Forest, NC 27587 2020-06-03
1942760277 Samantha Fae Pugh Occupational Therapist 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 2019-03-22
1851863609 The Counseling Collective Counselor 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 2018-12-18
1891270856 Halston Hoke Speech-Language Pathologist 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 2018-09-26
1710465620 Amy K Tarnowski Physical Therapist The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 2018-08-02
1518452341 Language and Literacy 365, Pllc Speech-Language Pathologist 956 Templeridge Rd, Wake Forest, NC 27587 2018-06-25
1467951723 Justin Mitchell Physical Therapist 843 Durham Rd Suite 110, Wake Forest, NC 27587 2018-02-01
1124544499 Carolina Concussion & Physical Medicine, Pllc Chiropractor 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 2017-08-18
1902293889 Katherine Armine Lorch Student in an Organized Health Care Education/Training Program 3000 Rogers Road Ste 210, Wake Forest, NC 27587 2015-04-18
1437553302 Raleigh Durham Medical Group, Pa Family Medicine 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 2014-10-21
Find all providers in zip 27587

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1700411931 Nicole Tai Social Worker 3664 Genesis Ln, Wake Forest, NC 27587-6088 2020-03-09
1275164196 Annie's House, LLC Social Worker 1784 Heritage Center Dr Ste 204-h, Wake Forest, NC 27587-3989 2020-01-29
1780172890 Susan White Social Worker 504 Walters Dr, Wake Forest, NC 27587-6177 2018-04-24
1013456813 Carolina Ramirez Social Worker 3745 Willow Stone Ln, Wake Forest, NC 27587-3433 2017-02-14
1346788791 Gary S Skinner Social Worker 10580 Ligon Mill Rd # 210, Wake Forest, NC 27587-6090 2017-02-06
1629525746 Stefanie Vitale-ronde Social Worker 1900 S Main St Ste 112, Wake Forest, NC 27587-5027 2016-09-07
1912351008 Ella Zlotina Social Worker 3920 Song Sparrow Dr, Wake Forest, NC 27587-1633 2016-04-15
1598147704 Phillip White Social Worker 1213 Opeushaw Ct, Wake Forest, NC 27587-7938 2015-06-24
1790166593 Kimberly Scott, Pllc Social Worker 112 Brooks St, Wake Forest, NC 27587-2757 2015-06-17
1073923801 Hilary Leath Norris Social Worker 1613 Forest Rd, Wake Forest, NC 27587-7730 2014-05-01
Find all providers in WAKE FOREST

Competitor

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City WAKE FOREST
Zip Code 27587

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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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