Individual provider Active NPI

Sharon Marcy Regan, LICSW, MSW

  • Clinical Social Worker
  • Nashua, NH
National Provider Identifier
1114010675
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
822 Issued in NH
Practice address
29 Northwest Blvd
Nashua, NH 03063-4068
Phone
(603) 881-9313
Fax
(603) 595-7772
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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 822 NH Primary

Addresses

Primary practice location

29 Northwest Blvd
Nashua, NH 03063-4068

Mailing address

29 Northwest Blvd
Nashua, NH 03063-4068
Phone (603) 881-9311

Other identifiers 1

IdentifierTypeStateIssuer
30422427MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20040618000439 NH Practitioner - Clinical Social Worker 5193700896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

19 Tyler St
Suite 305
Nashua, NH 03060-2951
Phone (603) 577-2396

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc. CurrentSince Nov 10, 2003 Accepting new patients
Foundation Medical Partners Inc CurrentSince Nov 10, 2003 Accepting new patients

Locations

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

29 Northwest Blvd
Nashua, NH 03063
Phone (603) 577-2273

19 Tyler St
Ste 305
Nashua, NH 03060
Phone (603) 577-2396

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189555200000",
    "number": "1114010675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634068",
            "telephone_number": "603-881-9311",
            "fax_number": "603-595-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 NORTHWEST BLVD",
            "city": "NASHUA",
            "state": "NH",
            "postal_code": "030634068",
            "telephone_number": "603-881-9313",
            "fax_number": "603-595-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "SHARON",
        "middle_name": "MARCY",
        "name_prefix": "Prof.",
        "credential": "LICSW, MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "822",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30422427",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashua, NH

Sources for this page

Verify at the official NPI Registry.