Michael Regan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089196 Issued in NY

Practice address

33 Buck Hill Rd
Wurtsboro, NY 12790-5227

Phone

(570) 906-0168

NPI assigned

Aug 4, 2015

Sex

Male

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": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705708800000",
    "number": "1912383621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 SULLIVAN AVE",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711616",
            "telephone_number": "570-906-0168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 BUCK HILL RD",
            "city": "WURTSBORO",
            "state": "NY",
            "postal_code": "127905227",
            "telephone_number": "570-906-0168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-01-20",
        "certification_date": "2024-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marie Minton, RN
• P & S Pharmacy LLC (Wurtsboro Pharmacy)
• Rahulkumar M Patel, R.PH.
• Kailyn Yvonne Powell, LPN
• Victoria Puig, ED.D
• Tara Schoonmaker
• Dhirajlal M Shah, MD
• Chyrise Taylor, DNP-FNP
• Tineo Psychological Services PLLC
• Laura Marie White-Henderson, LCSW

• Clinical Social Worker in Wurtsboro, NY
• Providers in Wurtsboro, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.