Individual provider Active NPI

Regina D Thompson, LCSW

  • Clinical Social Worker
  • Wiscasset, ME
National Provider Identifier
1457024671
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22387 Issued in AZ
Practice address
29 Flood Ave
Wiscasset, ME 04578-4702
Phone
(480) 868-9846
Fax
(520) 280-0598
NPI assigned
Jul 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14250959-3501 UT
Clinical Social Worker 1041C0700X LC-25317 ME
Clinical Social Worker 1041C0700X 089.0136882 VT
Clinical Social Worker 1041C0700X 22387 AZ Primary

Addresses

Primary practice location

29 Flood Ave
Wiscasset, ME 04578-4702

Mailing address

29 Flood Ave # 04578
Wiscasset, ME 04578-4702
Phone (480) 868-9846

Other practice location 1

107 E 1st St
Casa Grande, AZ 85122-5201
Phone (805) 219-9307 ext. 89846

Other practice location 2

35444 W San Alvarez Ave
Maricopa, AZ 85138-3702
Phone (480) 818-4167 ext. 89846

Other practice location 3

89 Main St
Montpelier, VT 05602-3168
Phone (480) 868-9846

Other practice location 4

195 N 1950 W
Salt Lake City, UT 84116-3100
Phone (480) 868-9846

Other names 1

  • Regina D Vitale Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LC-25317MEMDClinical Social Worker
14250959-3501UTMDClinical Social Worker
089.0136882VTMDClinical Social Worker
22387AZMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Copa Krawler LLC Mental Health CurrentSince Mar 30, 2025 Accepting new patients
Blue Bell Management LLC Mental Health Past Accepting new patients

Locations

107 E 1st St
Casa Grande, AZ 85122
Phone (520) 836-1675

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.

NPI Registry JSON

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1457024671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 FLOOD AVE # 04578",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784702",
            "telephone_number": "480-868-9846",
            "fax_number": "520-280-0598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 FLOOD AVE",
            "city": "WISCASSET",
            "state": "ME",
            "postal_code": "045784702",
            "telephone_number": "480-868-9846",
            "fax_number": "520-280-0598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Casa Grande",
            "state": "AZ",
            "postal_code": "851225201",
            "country_code": "US",
            "telephone_number": "805-219-9307 x89846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35444 W San Alvarez Ave",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851383702",
            "country_code": "US",
            "telephone_number": "480-818-4167 x89846",
            "fax_number": "520-280-0598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "89 Main St",
            "address_purpose": "LOCATION",
            "city": "Montpelier",
            "state": "VT",
            "postal_code": "056023168",
            "country_code": "US",
            "telephone_number": "480-868-9846",
            "fax_number": "520-280-0598",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "195 N 1950 W",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841163100",
            "country_code": "US",
            "telephone_number": "480-868-9846",
            "fax_number": "520-280-0598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "REGINA",
        "middle_name": "D",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "14250959-3501",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC-25317",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136882",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "22387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "VITALE",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wiscasset, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.