Individual provider Active NPI

Regina M Whittington, MSW, LCSW

  • Clinical Social Worker
  • High Ridge, MO
National Provider Identifier
1053604660
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2009032098 Issued in MO
Practice address
2001 Shetland Path
High Ridge, MO 63049-1780
Phone
(314) 691-1209
NPI assigned
May 16, 2011
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 2009032098 MO Primary

Addresses

Primary practice location

2001 Shetland Path
High Ridge, MO 63049-1780

Mailing address

10820 Sunset Office Dr Ste 204
Saint Louis, MO 63127-1030
Phone (314) 691-1209

Other practice location 1

10820 Sunset Office Dr Ste 204
Saint Louis, MO 63127-1030
Phone (314) 691-1209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2009032098MOMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1305504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1053604660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 SUNSET OFFICE DR STE 204",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271030",
            "telephone_number": "314-691-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SHETLAND PATH",
            "city": "HIGH RIDGE",
            "state": "MO",
            "postal_code": "630491780",
            "telephone_number": "314-691-1209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10820 Sunset Office Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271030",
            "country_code": "US",
            "telephone_number": "314-691-1209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTINGTON",
        "first_name": "REGINA",
        "middle_name": "M",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-16",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2009032098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Ridge, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.