Active NPI
Regina D Thompson, LCSW
- Clinical Social Worker
- Wiscasset, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 22387
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC-25317 | ME | MD | Clinical Social Worker |
| 14250959-3501 | UT | MD | Clinical Social Worker |
| 089.0136882 | VT | MD | Clinical Social Worker |
| 22387 | AZ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Copa Krawler LLC | Mental Health | Current | 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.
-
- Adult Mental Health Clinic/Center
- Maricopa, AZ
- NPI 1295538270
-
- Mental Health Counselor
- Casa Grande, AZ
- NPI 1023704954
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.