Regina Kujawa LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

REGINA KUJAWA LCSW PLLC

Practice address

1175 Revolution Mill Dr Ste 29-2
Greensboro, NC 27405-5079

Phone

(336) 554-3291

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Regina Kujawa, LCSWNPI 1447428693

Title

Owner

Phone

(336) 554-3291

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina Gerard Kujawa, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1447428693
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1760134316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603B W FRIENDLY AVE # 256",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104213",
            "telephone_number": "336-554-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 REVOLUTION MILL DR STE 29-2",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274055079",
            "telephone_number": "336-554-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINA KUJAWA LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "KUJAWA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-554-3291",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Scott Regal, DPM
• Belkys Anioris Regalado Romero, MD
• Regenerative Medical Institute,PLLC
• Eliahu Shaul Regev, DMD
• Regina Kujawa LCSW LLC
• Reginald Center of Turn Around
• Regional Home Care, Inc.
• Regional Physicians LLC
• Amber J Register, PA C
• Jack A Register II, MSW, LCSW, LCAS

• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.

Verify at the official NPI Registry.