Organization Active NPI

Regina Kujawa LCSW LLC

  • Social Worker
  • Greensboro, NC
National Provider Identifier
1144895889
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on May 25, 2021

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)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.