Individual provider Active NPI

Regina Guthrie Faridnia, LCSW

  • Clinical Social Worker
  • Auburn, CA
National Provider Identifier
1023318045
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
26712 Issued in CA
Practice address
12120 Herdal Dr
Auburn, CA 95603-5637
Phone
(408) 460-5030
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4526 LA
Clinical Social Worker 1041C0700X 13263-C NV
Clinical Social Worker 1041C0700X 26712 CA Primary

Addresses

Primary practice location

12120 Herdal Dr
Auburn, CA 95603-5637

Mailing address

12120 Herdal Dr., Auburn, Ca. 95603
Auburn, CA 95603
Phone (408) 460-5030

Other practice location 1

6049 Douglas Blvd Ste 20B
Granite Bay, CA 95746-6275
Phone (408) 460-5030

Other names 1

  • Regina Kingman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150327000028 CA Practitioner - Clinical Social Worker 3577880731 Reassigns benefits to 1 organization
Practice locations: Granite Bay, CA
I20170131002863 CA Practitioner - Clinical Social Worker 3577880731 Reassigns benefits to 1 organization
Practice locations: Granite Bay, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

12120 Herdal Dr
Auburn, CA 95603-5637

6049 Douglas Blvd
Suite 20B
Granite Bay, CA 95746-6275
Phone (480) 460-5030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26712CAMDClinical Social Worker
4526LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Indigena Integrative Wellness a Licensed Clinical Social Worker, PC Clinical CurrentSince Mar 7, 2026 Accepting new patients

Locations

12120 Herdal Dr
Auburn, CA 95603
Phone (408) 460-5030

6049 Douglas Blvd
Ste 20B
Granite Bay, CA 95746
Phone (408) 460-5030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1023318045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 HERDAL DR., AUBURN, CA. 95603",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95603",
            "telephone_number": "408-460-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 HERDAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035637",
            "telephone_number": "408-460-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6049 Douglas Blvd Ste 20B",
            "address_purpose": "LOCATION",
            "city": "Granite Bay",
            "state": "CA",
            "postal_code": "957466275",
            "country_code": "US",
            "telephone_number": "408-460-5030",
            "fax_number": "916-540-7157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARIDNIA",
        "first_name": "REGINA",
        "middle_name": "GUTHRIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "4526",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "13263-C",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "26712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "KINGMAN",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.