Individual provider Active NPI

Regina Miller Nadir, LICSW, LCSW-C, LCSW

  • Clinical Social Worker
  • Glen Burnie, MD
National Provider Identifier
1265684179
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13667 Issued in MD
Practice address
7310 Ritchie Hwy Ste 200
Glen Burnie, MD 21061-3065
Phone
(443) 758-8007
NPI assigned
Oct 22, 2008
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC50078461 DC
Clinical Social Worker 1041C0700X 13667 MD Primary
Clinical Social Worker 1041C0700X 0904012376 VA

Addresses

Primary practice location

7310 Ritchie Hwy Ste 200
Glen Burnie, MD 21061-3065

Mailing address

7310 Ritchie Hwy Ste 200
Glen Burnie, MD 21061-3065
Phone (443) 758-8007

Other names 1

  • Regina Miller Nadir Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20230207003232 DC Practitioner - Clinical Social Worker 5991177560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14300 Gallant Fox LN
Suite 115
Bowie, MD 20715-4031
Phone (571) 236-7012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC50078461DCMDClinical Social Worker
13667MDMDClinical Social Worker
0904012376VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rmntherapy & Consulting Services Clinical Current Accepting new patients

Locations

7310 Ritchie Hwy
Ste 200
Glen Burnie, MD 21061
Phone (240) 728-7544

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1265684179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613065",
            "telephone_number": "443-758-8007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 RITCHIE HWY STE 200",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613065",
            "telephone_number": "443-758-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIR",
        "first_name": "REGINA",
        "middle_name": "MILLER",
        "name_prefix": "Dr.",
        "credential": "LICSW, LCSW-C, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078461",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13667",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "NADIR",
            "middle_name": "MILLER",
            "credential": "LICSW, LCSW-C, LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.