Regina Weathersby, LICSW, PIP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3895C Issued in AL

Practice address

122 Cooper Ave
Trussville, AL 35173-2081

Phone

(205) 601-7037

NPI assigned

Sep 13, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Armored Life Counseling and Consulting

  • Clinical Social Worker
  • Trussville, AL
  • NPI 1639051873
  NPD Authorized official

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1841026077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 COOPER AVE",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732081",
            "telephone_number": "205-601-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 COOPER AVE",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351732081",
            "telephone_number": "205-601-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERSBY",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "LICSW, PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3895C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stefan J Vila, DDS, MD
• Katherine Vines, LMT,NMT
• Thomas Gerald Walker, D.M.D.
• Jermaine A Wall, LICSW
• Patricia Watts, PHARM.D.
• Rebecca B Webster, MD
• Wellness and Weight Loss
• Kristen A Weslock, OD
• Deborah N Wheat, LMFT
• Alexandria Victoria White, DPT

• Clinical Social Worker in Trussville, AL
• Providers in Trussville, AL by specialty
• Clinical Social Worker in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.