Individual provider Active NPI

Regina E. McCarthy, L.C.S.W.

  • Clinical Social Worker
  • Elgin, IL
National Provider Identifier
1942508650
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.011868 Issued in IL
Practice address
1520 Commerce Dr
Elgin, IL 60123-9362
Phone
(847) 275-4869
NPI assigned
Mar 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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 149-011868 IL
Clinical Social Worker 1041C0700X 149.011868 IL Primary

Addresses

Primary practice location

1520 Commerce Dr
Elgin, IL 60123-9362

Mailing address

1520 Commerce Dr
Elgin, IL 60123-9362
Phone (847) 275-4869

Other practice location 1

1595 Weld Rd Ste 5
Elgin, IL 60123-5896
Phone (847) 275-4869

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
149-011868ILMDClinical Social Worker
149.011868ILMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1942508650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 COMMERCE DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239362",
            "telephone_number": "847-275-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 COMMERCE DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239362",
            "telephone_number": "847-275-4869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1595 Weld Rd Ste 5",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601235896",
            "country_code": "US",
            "telephone_number": "847-275-4869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCARTHY",
        "first_name": "REGINA",
        "middle_name": "E.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-03",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-011868",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.011868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.