Individual provider Active NPI

Regan E Morris, LCSW,CAP, LICW-CP

  • Social Worker
  • Charleston AFB, SC
National Provider Identifier
1942265129
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW4649 Issued in FL
Practice address
105 E Hill Blvd
Charleston AFB, SC 29404-5014
Phone
(843) 963-3559
NPI assigned
Apr 19, 2006
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11561 SC
Social Worker 104100000X SW4649 FL Primary

Addresses

Primary practice location

105 E Hill Blvd
Charleston AFB, SC 29404-5014

Mailing address

105 E Hill Blvd
Charleston AFB, SC 29404-5014
Phone (843) 963-3559

Other practice location 1

1540 Spring Valley Drive
VA Medical Center
Huntington, WV 25704
Phone (304) 429-6741 ext. 3724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW4649FLMDSocial Worker
11561SCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1942265129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 E HILL BLVD",
            "city": "CHARLESTON AFB",
            "state": "SC",
            "postal_code": "294045014",
            "telephone_number": "843-963-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E HILL BLVD",
            "city": "CHARLESTON AFB",
            "state": "SC",
            "postal_code": "294045014",
            "telephone_number": "843-963-3559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 Spring Valley Drive",
            "address_2": "VA Medical Center",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "25704",
            "country_code": "US",
            "telephone_number": "304-429-6741 x3724",
            "fax_number": "304-429-7562",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "REGAN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "LCSW,CAP, LICW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "11561",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW4649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston AFB, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.