Edward Michael Regan, M.S., M.S.W., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

007874 Issued in CT

Practice address

251 Main St
101
Old Saybrook, CT 06475-2357

Phone

(860) 388-9656

NPI assigned

Mar 13, 2013

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

Credentials

Master of Science

State licenses

Practice roles

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.

• The Adapt Wellness Group

  • Community/Behavioral Health Agency
  • Essex, CT
  • NPI 1811614464
  NPD Authorized official
• Project Courage, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Old Saybrook, CT
  • NPI 1659716405
  NPD (past)

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1992046114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 BLACK POINT RD",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063572937",
            "telephone_number": "860-514-7062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MAIN ST",
            "address_2": "101",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752357",
            "telephone_number": "860-388-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "EDWARD",
        "middle_name": "MICHAEL",
        "credential": "M.S., M.S.W., LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "007874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noel Quinn
• Tracy E. Ransom, PSY.D.
• Carla Ratti, PHD
• Anthony Reczek
• Sheila Ring Reed, LCSW
• Jane K Regan, APRN
• Robyn C. Reilly, APRN, FNP-BC
• Kelly Renshaw
• Virginia Becker Rhodes, LCSW
• Richard P Benoit DMD PC

• Clinical Social Worker in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.