Individual provider Active NPI

Ronit Reguer, LCSW

  • Clinical Social Worker
  • Wainscott, NY
National Provider Identifier
1639506595
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078264 Issued in NY
Practice address
360 Montauk Hwy
Wainscott, NY 11975-2000
Phone
(631) 808-3330
Fax
(631) 808-3330
NPI assigned
Oct 8, 2013
Last updated
Oct 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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 078264 NY Primary

Addresses

Primary practice location

360 Montauk Hwy
Wainscott, NY 11975-2000

Mailing address

31 S Dewitt PL
Montauk, NY 11954-5065
Phone (631) 668-5690

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
078264NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381190400000",
    "number": "1639506595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S DEWITT PL",
            "city": "MONTAUK",
            "state": "NY",
            "postal_code": "119545065",
            "telephone_number": "631-668-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MONTAUK HWY",
            "city": "WAINSCOTT",
            "state": "NY",
            "postal_code": "119752000",
            "telephone_number": "631-808-3330",
            "fax_number": "631-808-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGUER",
        "first_name": "RONIT",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wainscott, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.