Active NPI
Regina Joyce McKenna, LCSW
- Clinical Social Worker
- Somerville, MA
National Provider Identifier
1578222949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 645 Broadway
Somerville, MA 02145-2528 - Phone
- (508) 475-9711
- NPI assigned
- Dec 14, 2021
- Last updated
- May 5, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | NU | Primary |
Addresses
Primary practice location
645 Broadway
Somerville, MA 02145-2528
Mailing address
271 Massachusetts Ave Apt 24
Arlington, MA 02474-8315
Phone (617) 331-7979
Other practice location 1
130 Condor St
East Boston, MA 02128-1305
Phone (617) 569-6560
Other practice location 2
780 American Legion Hwy
Roslindale, MA 02131-3908
Phone (617) 469-8692
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Suffolk Community Services Inc. | Current | Accepting new patients |
Locations
130 Condor St
East Boston, MA 02128
Phone (617) 569-6560
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Developmental Disabilities Clinic/Center
- East Boston, MA
- NPI 1255481107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1578222949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "271 MASSACHUSETTS AVE APT 24",
"city": "ARLINGTON",
"state": "MA",
"postal_code": "024748315",
"telephone_number": "617-331-7979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 BROADWAY",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021452528",
"telephone_number": "508-475-9711"
}
],
"practiceLocations": [
{
"address_1": "130 Condor St",
"address_purpose": "LOCATION",
"city": "East Boston",
"state": "MA",
"postal_code": "021281305",
"country_code": "US",
"telephone_number": "617-569-6560",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "780 American Legion Hwy",
"address_purpose": "LOCATION",
"city": "Roslindale",
"state": "MA",
"postal_code": "021313908",
"country_code": "US",
"telephone_number": "617-469-8692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKENNA",
"first_name": "REGINA",
"middle_name": "JOYCE",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-14",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Somerville, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.