Active NPI
Regina Kujawa LCSW LLC
- Social Worker
- Greensboro, NC
National Provider Identifier
1144895889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- REGINA KUJAWA LCSW LLC
- Practice address
- 1175 Revolution Mill Dr Ste 29-2
Greensboro, NC 27405-5079 - Phone
- (336) 554-3291
- NPI assigned
- May 25, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Regina Kujawa
- Title
- Authorized Official
- Phone
- (336) 554-3291
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
1175 Revolution Mill Dr Ste 29-2
Greensboro, NC 27405-5079
Mailing address
5603B W Friendly Ave # 256
Greensboro, NC 27410-4213
National Provider Directory
National Provider DirectoryLocations
5603 W Friendly Ave
Ste B
Greensboro, NC 27410
Phone (336) 686-6894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621900800000",
"number": "1144895889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5603B W FRIENDLY AVE # 256",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 REVOLUTION MILL DR STE 29-2",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274055079",
"telephone_number": "336-554-3291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REGINA KUJAWA LCSW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A",
"authorized_official_last_name": "KUJAWA",
"authorized_official_first_name": "REGINA",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "336-554-3291"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.