Individual provider Active NPI

Regina Arlene Simon, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1700037827
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089820 Issued in MI
Practice address
2806 Davenport Avenue
Saginaw, MI 48602-3734
Phone
(989) 790-7500
Fax
(989) 752-6830
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801089820 MI
Clinical Social Worker 1041C0700X 6801089820 MI Primary

Addresses

Primary practice location

2806 Davenport Avenue
Saginaw, MI 48602-3734

Mailing address

2806 Davenport Avenue
Saginaw, MI 48602-3734
Phone (989) 752-7867

Other identifiers 1

IdentifierTypeStateIssuer
6801089820OtherMICLINICAL LICENSE

Other names 1

  • Regina Arlene Nerio Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089820MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Regina Simon LMSW CurrentSince Jan 24, 2021 Accepting new patients
Child and Family Service of Saginaw County PastSince May 8, 2022 Accepting new patients

Locations

3216 Christy Way S
Ste 5
Saginaw, MI 48603
Phone (989) 501-5357

Organizations & group practices 2

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": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1700037827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2806 DAVENPORT AVENUE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023734",
            "telephone_number": "989-752-7867",
            "fax_number": "989-752-6830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 DAVENPORT AVENUE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486023734",
            "telephone_number": "989-790-7500",
            "fax_number": "989-752-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "REGINA",
        "middle_name": "ARLENE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801089820",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE",
            "identifier": "6801089820",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "NERIO",
            "middle_name": "ARLENE",
            "credential": "LMSW, CAADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.