Active NPI
Leigh Regine LLC
- Clinical Social Worker
- Buford, GA
National Provider Identifier
1669017075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- LEIGH REGINE LLC
- Practice address
- 114 E Main St Ste A1B-20
Buford, GA 30518 - Phone
- (219) 898-9103
- NPI assigned
- Nov 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leigh Regine Westergren, LCSW
- Title
- Owner
- Phone
- (219) 898-9103
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
114 E Main St Ste A1B-20
Buford, GA 30518
Mailing address
PO Box 2257
Chesterton, IN 46304-0357
Phone (219) 898-9103
Other names 1
- The Healing Hearts Studio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
115 E Main St
Ste A1B20
Buford, GA 30518
Phone (219) 898-9103
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Buford, GA
- NPI 1386156263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715299200000",
"number": "1669017075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2257",
"city": "CHESTERTON",
"state": "IN",
"postal_code": "463040357",
"telephone_number": "219-898-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 E MAIN ST STE A1B-20",
"city": "BUFORD",
"state": "GA",
"postal_code": "30518",
"telephone_number": "219-898-9103"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEIGH REGINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-08",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A",
"authorized_official_last_name": "WESTERGREN",
"authorized_official_first_name": "LEIGH",
"authorized_official_middle_name": "REGINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "219-898-9103",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Healing Hearts Studio",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.