Individual provider Active NPI

Alanna D. Regan, L.C.S.W.-R

  • Clinical Social Worker
  • Smithtown, NY
National Provider Identifier
1023129889
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R070974-1 Issued in NY
Practice address
267 E Main St
BLDG. B-23
Smithtown, NY 11787-2874
Phone
(516) 652-4487
Fax
(631) 751-5132
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R070974-1 NY Primary

Addresses

Primary practice location

267 E Main St
BLDG. B-23
Smithtown, NY 11787-2874

Mailing address

116 Tuthill St
Port Jefferson, NY 11777-1824
Phone (516) 652-4487

Other identifiers 1

IdentifierTypeStateIssuer
P2781903OtherNYOXFORD PROVIDER ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426001329 NY Practitioner - Clinical Social Worker 2769479526 Practice locations: Smithtown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

267 E Middle Country Rd
Suite B23
Smithtown, NY 11787-2851
Phone (516) 652-4487

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R070974-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369785600000",
    "number": "1023129889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 TUTHILL ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771824",
            "telephone_number": "516-652-4487",
            "fax_number": "631-751-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "267 E MAIN ST",
            "address_2": "BLDG. B-23",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872874",
            "telephone_number": "516-652-4487",
            "fax_number": "631-751-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "ALANNA",
        "middle_name": "D.",
        "credential": "L.C.S.W.-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R070974-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID #",
            "identifier": "P2781903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.