Individual provider Active NPI

Regan Lee Hannant, LCSW

  • Clinical Social Worker
  • Wilson, NC
National Provider Identifier
1497780191
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C005003 Issued in NC
Practice address
2401 Wooten Blvd SW Ste K
Wilson, NC 27893-4464
Phone
(252) 291-0735
Fax
(252) 291-2890
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C005003 NC Primary

Addresses

Primary practice location

2401 Wooten Blvd SW Ste K
Wilson, NC 27893-4464

Mailing address

779 True Vine Rd. NE
Pikeville, NC 27863-8800
Phone (919) 252-4816

Other identifiers 1

IdentifierTypeStateIssuer
6003749MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000407 NC Practitioner - Clinical Social Worker 1850319138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological Mobile Services, PAGroup PAC ID 9931349040, 3 clinicians

Practice addresses (Care Compare)

2401 -K Wooten Boulevard
Wilson, NC 27893-4464
Phone (252) 291-0735

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C005003NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological Mobile Services, PA CurrentSince Nov 1, 2012 Accepting new patients
Waynesboro Family Clinic PastSince Jun 25, 2007 Accepting new patients
Wayne Cares Inc. Past Accepting new patients
Psychological Mobile Services Past Accepting new patients

Locations

2401 Wooten Blvd SW
Ste K
Wilson, NC 27893
Phone (252) 230-0293

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1497780191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 TRUE VINE RD. NE",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638800",
            "telephone_number": "919-252-4816",
            "fax_number": "919-734-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WOOTEN BLVD SW STE K",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934464",
            "telephone_number": "252-291-0735",
            "fax_number": "252-291-2890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNANT",
        "first_name": "REGAN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003749",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.