Connie Regan, LCSW is a
Social Worker based in Hattiesburg, Mississippi. Connie Regan is licensed to practice in Mississippi (license number C1017) and her current practice location is
4100 Mamie St, Hattiesburg, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(601) 705-1901.
NPI number for Connie Regan is 1538391123 and her current mailing address is 141 Willow Brook Dr, Hattiesburg, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538391123.
Healthcare Provider's Profile
Full Name | Connie Regan |
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Gender | Female |
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Speciality | Social Worker |
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Location | 4100 Mamie St, Hattiesburg, Mississippi |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538391123
- Provider Enumeration Date: 08/14/2009
- Last Update Date: 12/04/2015
Medical Identifiers
Medical identifiers for Connie Regan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538391123 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | C1017 (Mississippi) | Secondary |
104100000X | Social Worker | C1017 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Connie Regan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Connie Regan, LCSW 141 Willow Brook Dr, Hattiesburg, MS 39402-1488 Ph: (601) 705-1901 | Connie Regan, LCSW 4100 Mamie St, Hattiesburg, MS 39402-1735 Ph: (601) 705-1901 |
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