Individual provider Active NPI

Regina Padgett

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1902179948
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW20250 Issued in FL
Practice address
6249 Edgewater Dr.
V1, Ste. 7
Orlando, FL 32810-4739
Phone
(407) 547-2711
NPI assigned
Feb 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 20250 FL
Case Manager/Care Coordinator 171M00000X
Case Management Agency 251B00000X FL
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW20250 FL Primary

Addresses

Primary practice location

6249 Edgewater Dr.
V1, Ste. 7
Orlando, FL 32810-4739

Mailing address

PO Box 608503
Orlando, FL 32860-8503
Phone (407) 547-2711

Other identifiers 3

IdentifierTypeStateIssuer
680903198MedicaidFL
680903196MedicaidFL
680903168MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20231011000479 FL Practitioner - Clinical Social Worker 9537523477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
20250FLMDClinical Social Worker
SW20250FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Support Unlimited, Inc. Clinical CurrentSince Aug 12, 2023 Accepting new patients

Locations

6249 Edgewater Dr
Ste 7
Orlando, FL 32810
Phone (407) 547-2711

6249 Edgewater Dr
#V1
Orlando, FL 32810
Phone (407) 547-2711

Organizations & group practices 1

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": "1329868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1902179948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608503",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328608503",
            "telephone_number": "407-547-2711",
            "fax_number": "407-289-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6249 EDGEWATER DR.",
            "address_2": "V1, STE. 7",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328104739",
            "telephone_number": "407-547-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADGETT",
        "first_name": "REGINA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-22",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "20250",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680903198",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680903196",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "680903168",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.