Active NPIIndividual provider

Regina Wall, MSW LCSW BCD

Social Worker, Clinical in Pennington, New Jersey

NPI Number1053346502
Practice location
100 Straube Center Blvd, Suite 203, Pennington, NJ 08534-1447
Fax
609-298-9288
Last updated
April 30, 2009

Regina Wall is a Social Worker, Clinical based in Pennington, NJ. Regina Wall practices in Pennington, NJ and has the professional credentials of MSW LCSW BCD. The NPI Number for Regina Wall is 1053346502 and holds a License No. SC01436 (NJ). The current practice location address for Regina Wall is 100 Straube Center Blvd, Suite 203, Pennington, NJ 08534-1447 and can be reached out via phone at 609-298-9144 and via fax at 609-298-9288.

Provider Profile Details

NPI Number
1053346502
Provider Name
Regina Wall
Credential
MSW LCSW BCD
Provider Entity Type
Individual
Gender
Female
Address
100 Straube Center Blvd, Suite 203, Pennington, NJ 08534-1447
Phone Number
609-298-9144
Fax Number
609-298-9288
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
July 12, 2006
Last Update Date
April 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Straube Center Blvd
Suite 203
Pennington, NJ 08534-1447
Zip
08534-1447
Phone Number
609-298-9144
Fax Number
609-298-9288
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
103 Point CT
Lawrenceville, NJ 08648-2861
City
Lawrenceville
State
NJ
Zip
08648-2861
Phone Number
609-434-1418

License Information

License Number
SC01436
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Regina Wall, MSW LCSW BCD?

The NPI number of Regina Wall, MSW LCSW BCD is 1053346502. It was assigned on July 12, 2006 and is currently active in the NPPES registry.

What is the specialty of Regina Wall, MSW LCSW BCD?

Regina Wall, MSW LCSW BCD is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number SC01436.

Where does Regina Wall, MSW LCSW BCD practice?

The practice location is 100 Straube Center Blvd, Suite 203, Pennington, NJ 08534-1447. The office can be reached at 609-298-9144 (phone) or 609-298-9288 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053346502 directly on the NPPES registry website.

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