Individual provider Active NPI

Regina Mathew, LCSW

  • Clinical Social Worker
  • McKinney, TX
National Provider Identifier
1891348249
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
40754 Issued in TX
Practice address
7300 Eldorado Pkwy Ste 225
McKinney, TX 75070-7891
Phone
(972) 733-7242
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 40754 TX Primary

Addresses

Primary practice location

7300 Eldorado Pkwy Ste 225
McKinney, TX 75070-7891

Mailing address

6839 Communications Pkwy
Plano, TX 75024-5991
Phone (972) 733-7242

Other practice location 1

6839 Communications Pkwy
Plano, TX 75024-5991
Phone (972) 733-7242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20190822004327 TX Practitioner - Clinical Social Worker 9234467648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

2021 Guadalupe St
Suite 260
Austin, TX 78705-5654
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bent Tree Medicine, PLLC CurrentSince Jul 15, 2019 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince May 11, 2021 Accepting new patients

Locations

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

7300 Eldorado Pkwy
Ste 225
McKinney, TX 75070
Phone (469) 440-9543

6045 Alma Rd
Ste 210
McKinney, TX 75070
Phone (972) 893-3376

6839 Communications Pkwy
Plano, TX 75024
Phone (469) 379-8222

Interoperability endpoints

  • Direct secure messaging: reginamathew@tdh.allscriptsdirect.net

Organizations & group practices 3

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1891348249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6839 COMMUNICATIONS PKWY",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750245991",
            "telephone_number": "972-733-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 ELDORADO PKWY STE 225",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750707891",
            "telephone_number": "972-733-7242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6839 Communications Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750245991",
            "country_code": "US",
            "telephone_number": "972-733-7242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "REGINA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "40754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.