Active NPI
Regina Dalune Englade, LICSW
- Clinical Social Worker
- Leominster, MA
National Provider Identifier
1790892545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 104541
- Practice address
- 100 Erdman Way
Leominster, MA 01453 - Phone
- (978) 466-8349
- Fax
- (978) 537-6174
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 104541 | MA | Primary |
Addresses
Primary practice location
100 Erdman Way
Leominster, MA 01453
Mailing address
147 Peabody St
Groton, MA 01450-1817
Phone (978) 448-5540
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
| License | State | Type | Specialty |
|---|---|---|---|
| 104541 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790892545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 PEABODY ST",
"city": "GROTON",
"state": "MA",
"postal_code": "014501817",
"telephone_number": "978-448-5540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 ERDMAN WAY",
"city": "LEOMINSTER",
"state": "MA",
"postal_code": "01453",
"telephone_number": "978-466-8349",
"fax_number": "978-537-6174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ENGLADE",
"first_name": "REGINA",
"middle_name": "DALUNE",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "104541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leominster, MA
- Bethany Anne Ellis, B.S
- Azadeh Emam, D.M.D.
- Empire Vision Center Inc (Visionworks)
- Empowered Wings ABA LLC
- Abigail Kamens Engel, P.A.
- Epicwellness Home Care and Consulting LLC (Epicwellness Homecare and consulting)
- Kathy Renee Erickson, LMHC
- Vicente Rodrigo Esparza, PA
- Ann T Evans, ED D
- Katherine Everson, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.