Individual provider Active NPI

Regina McNamara, LCSW, LISW-CP

  • Clinical Social Worker
  • Greenville, SC
National Provider Identifier
1295107555
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13182 Issued in SC
Practice address
325 Rocky Slope Rd Ste 104
Greenville, SC 29607-7815
Phone
(843) 256-3910
Fax
(864) 818-4972
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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 59256 TX
Clinical Social Worker 1041C0700X 0904012156 VA
Clinical Social Worker 1041C0700X 13182 SC Primary

Addresses

Primary practice location

325 Rocky Slope Rd Ste 104
Greenville, SC 29607-7815

Mailing address

325 Rocky Slope Rd Ste 104
Greenville, SC 29607-7815
Phone (843) 256-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, TX, VA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190919000744 SC Practitioner - Clinical Social Worker 1658601570 Reassigns benefits to 2 organizations
I20201002000504 TX Practitioner - Clinical Social Worker 1658601570
I20210302003006 VA Practitioner - Clinical Social Worker 1658601570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

111 Rollins Ave
Greenville, SC 29607-4093
Phone (843) 256-3910

325 Rocky Slope Rd
Suite 104223
Greenville, SC 29607-3916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904012156VAMDClinical Social Worker
13182SCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sweetgrass Psychiatry LLC CurrentSince Nov 9, 2020 Accepting new patients
Mindful Presence Counseling Services, LLC Clinical CurrentSince May 24, 2023 Accepting new patients
Myspectrum LLC CurrentSince Feb 26, 2021 Accepting new patients
Lucid Lane Providers, P.C. Clinical PastSince Jul 17, 2020 Accepting new patients

Locations

325 Rocky Slope Rd
Ste 104
Greenville, SC 29607
Phone (470) 927-4021

710 Johnnie Dodds Blvd
Ste 200
Mt Pleasant, SC 29464
Phone (843) 800-1303

707 N Courthouse Rd
North Chesterfield, VA 23236
Phone (804) 332-5696

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1295107555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 ROCKY SLOPE RD STE 104",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296077815",
            "telephone_number": "843-256-3910",
            "fax_number": "866-626-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 ROCKY SLOPE RD STE 104",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296077815",
            "telephone_number": "843-256-3910",
            "fax_number": "864-818-4972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "REGINA",
        "credential": "LCSW, LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59256",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012156",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "13182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.