Regina R Wims

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PSW1239 Issued in FL

Practice address

1111 NE 25TH Ave Ste 104
Ocala, FL 34470-5665

Phone

(352) 870-1414

NPI assigned

Mar 15, 2023

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

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1891496873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16635 SW 139TH AVE",
            "city": "ARCHER",
            "state": "FL",
            "postal_code": "326185311",
            "telephone_number": "352-870-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 NE 25TH AVE STE 104",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344705665",
            "telephone_number": "352-870-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIMS",
        "first_name": "REGINA",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "PSW1239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Renee Wilson, LCSW
• Nathan Wilson
• Patricia Kaye Wilson, PHARMD
• Taneka D Wilson
• Mollie Marie Wilt, PA
• Lauren H Windham
• Danielle Winfrey
• Linder Earl Wingo, M.D.
• Nicole Marie Winkler
• Darlene Marie Winn, CASE MANAGEMENT

• Clinical Social Worker in Ocala, FL
• Providers in Ocala, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.