Connie Regan, LCSW in Hattiesburg, MS - Social Worker

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.

Contact Information

	Connie Regan, LCSW
	4100 Mamie St, Hattiesburg, MS 39402-1735
	(601) 705-1901
	Not Available

Healthcare Provider's Profile

Full Name	Connie Regan
Gender	Female
Speciality	Social Worker
Location	4100 Mamie St, Hattiesburg, Mississippi
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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