Active NPI
Regina S Wells
- Social Worker
- Flossmoor, IL
National Provider Identifier
1396438735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 150.109837
- Practice address
- 19624 Governors Hwy
Flossmoor, IL 60422-2077 - Phone
- (872) 225-6010
- NPI assigned
- May 31, 2023
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 150.109837 | IL | Primary |
Addresses
Primary practice location
19624 Governors Hwy
Flossmoor, IL 60422-2077
Mailing address
25113 S Chennault Ave
Monee, IL 60449-9019
Phone (708) 259-6032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150.109837 | IL | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Just & Equitable Counseling PC | Current | Accepting new patients |
Locations
3020 Woodcreek Dr
Ste A2
Downers Grove, IL 60515
Phone (630) 504-8550
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Downers Grove, IL
- NPI 1487441184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685491200000",
"number": "1396438735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25113 S CHENNAULT AVE",
"city": "MONEE",
"state": "IL",
"postal_code": "604499019",
"telephone_number": "708-259-6032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19624 GOVERNORS HWY",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222077",
"telephone_number": "872-225-6010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "REGINA",
"middle_name": "S",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-31",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IL",
"license": "150.109837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flossmoor, IL
- Ilene Weintraub Yohay, M.D.
- Well Care Transportation, LLC
- Well of Life Counseling LLC
- Wellness Couch Therapeutic Spa & Treatment Center (Wellness On The Couch)
- Wellpo Health
- Sheree Foshee Wertz, BS, RDH, OMT
- Karen N Whitehorn, MD
- Wildflower Collective
- Beatrice Williams
- Willow Medical Distribution LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.