Regina Haugabook, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW101917 Issued in CA

Practice address

8000 Marina Blvd Ste 600
Brisbane, CA 94005-1887

Phone

(415) 502-2581

Fax

(415) 514-8288

NPI assigned

Aug 26, 2021

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691280000000",
    "number": "1013684976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 MARINA BLVD STE 600",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051887",
            "telephone_number": "415-502-2581",
            "fax_number": "415-514-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 MARINA BLVD STE 600",
            "city": "BRISBANE",
            "state": "CA",
            "postal_code": "940051887",
            "telephone_number": "415-502-2581",
            "fax_number": "415-514-8288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1826 Crater Peak Way",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945318381",
            "country_code": "US",
            "telephone_number": "415-685-1180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUGABOOK",
        "first_name": "REGINA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2023-08-06",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW101917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://app.ableto.com/",
            "affiliation": "Y",
            "endpointDescription": "URL for accessing client data",
            "affiliationName": "AbleTo Behavioral Health Services of Michigan, P.C.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "320 W 37th St Fl 11",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100184675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Brisbane, CA
• Providers in Brisbane, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.