Regan Amburgey

Individual provider Active NPI Social Worker · Alexandria, LA

NPI 1184379331 · NPPES record last updated Apr 22, 2024

Key facts

NPI
1184379331
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
18061 (LA)
Practice address
1450 Peterman Dr # a
Alexandria, LA 71301-3432
Phone
(318) 473-4328
NPI assigned
Feb 16, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18061LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Behavioral Health, LLC Past
since Feb 1, 2022
Accepting new patients
Carl Phillips NP Services Past
since Feb 1, 2022
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Social Worker 104100000X 18061 LA Yes

Addresses

Primary practice location

1450 Peterman Dr # a
Alexandria, LA 71301-3432

Mailing address

1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455
Phone (318) 473-4328

Other providers in Alexandria, LA

All providers in Alexandria, LA · Social Worker in Louisiana

Sources for this page

Verify at the official NPI Registry.