Active NPI
Regina Marie Murray, LICSW
- Clinical Social Worker
- Dickinson, ND
National Provider Identifier
1285602912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 2642
- Practice address
- 11 2ND Ave E
Ste. B
Dickinson, ND 58601-5218 - Phone
- (701) 483-9720
- NPI assigned
- Mar 9, 2006
- Last updated
- Sep 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 2642 | ND | Primary |
Addresses
Primary practice location
11 2ND Ave E
Ste. B
Dickinson, ND 58601-5218
Mailing address
1612 Prairie Ave
Apt. #13
Dickinson, ND 58601-2954
Phone (701) 483-7133
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21392 | Other | ND | BCBS |
| 19137 | Medicaid | ND | |
| 2642 | Other | ND | LICSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2642 | ND | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westwind Consulting Center, Inc. | Past | Accepting new patients | |
| Dickinson Family Counseling Center | Past | Accepting new patients | |
| Westwind Consulting Center | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190851200000",
"number": "1285602912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 PRAIRIE AVE",
"address_2": "APT. #13",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586012954",
"telephone_number": "701-483-7133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 2ND AVE E",
"address_2": "STE. B",
"city": "DICKINSON",
"state": "ND",
"postal_code": "586015218",
"telephone_number": "701-483-9720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "REGINA",
"middle_name": "MARIE",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-09",
"last_updated": "2007-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "ND",
"license": "2642",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "21392",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "19137",
"state": "ND"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICSW",
"identifier": "2642",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dickinson, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.