Individual provider Active NPI

Ann Marie Regacho, LCSW

  • Clinical Social Worker
  • Frankford, DE
National Provider Identifier
1043066327
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012447 Issued in DE
Practice address
38613 Hemlock Dr
Frankford, DE 19945-4623
Phone
(302) 604-1225
NPI assigned
Apr 26, 2024
Last updated
Apr 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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 Q1-0012447 DE Primary

Addresses

Primary practice location

38613 Hemlock Dr
Frankford, DE 19945-4623

Mailing address

38613 Hemlock Dr
Frankford, DE 19945-4623
Phone (302) 604-1225

Other identifiers 2

IdentifierTypeStateIssuer
60054OtherDEAETNA
00570OtherDEDE BCBS HIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20241016002698 DE Practitioner - Clinical Social Worker 4789116641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspira HealthGroup PAC ID 4486080389, 17 clinicians

Practice addresses (Care Compare)

18068 Coastal Hwy
Lewes, DE 19958-4901
Phone (302) 567-1500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspira Health CurrentSince Nov 1, 2024 Accepting new patients
Atracare Mental Health Past Accepting new patients

Locations

1532 Savannah Rd
#A
Lewes, DE 19958
Phone (302) 268-8720

18068 Coastal Hwy
Lewes, DE 19958
Phone (302) 567-1500

Interoperability endpoints

  • Direct secure messaging: ann.regacho.1@22424.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22424/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1714089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1043066327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38613 HEMLOCK DR",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199454623",
            "telephone_number": "302-604-1225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38613 HEMLOCK DR",
            "city": "FRANKFORD",
            "state": "DE",
            "postal_code": "199454623",
            "telephone_number": "302-604-1225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGACHO",
        "first_name": "ANN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-26",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "60054",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DE BCBS HIGHMARK",
            "identifier": "00570",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankford, DE

Sources for this page

Verify at the official NPI Registry.