Regina Marie Nowatzke, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

L7531 Issued in OR

Practice address

5239 NE Highland Ave
Yachats, OR 97498-9009

Phone

(541) 265-4179

Fax

(541) 574-6252

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Regina M Vanrees Former name

Medicare fee-for-service enrollment

Enrolled in OR

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Solution Focused TherapyGroup PAC ID 8628410438, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Solution Focused Therapy

  • Clinic/Center
  • Newport, OR
  • NPI 1104416619
  Medicare reassignment Care Compare group NPD
• Elizabeth Layton Center, Inc.

  • Community/Behavioral Health Agency
  • Ottawa, KS
  • NPI 1972209732
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1699959270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 NE HIGHLAND AVE",
            "city": "YACHATS",
            "state": "OR",
            "postal_code": "974989009",
            "telephone_number": "541-265-4179",
            "fax_number": "541-574-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5239 NE HIGHLAND AVE",
            "city": "YACHATS",
            "state": "OR",
            "postal_code": "974989009",
            "telephone_number": "541-265-4179",
            "fax_number": "541-574-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWATZKE",
        "first_name": "REGINA",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OR",
            "license": "L7531",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L7531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200537330A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500735581",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "VANREES",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Martin Edward-John Bukovsky
• Judy Marie Edmunds, CPM LDM
• Norma Houchin Elliott, CCC-SLP
• Bruce Prentiss Ladd, LAC
• Pierre Morin, PH.D.
• Zeora Sage, LMT
• South Lincoln Ambulance Inc.
• Yachats Community Health Clinic
• Yachats Rural Fire Protection District

• Clinical Social Worker in Yachats, OR
• Providers in Yachats, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.