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General NPI Number Information
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NPI Number | 1295107555
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Entity Type | Individual
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Provider Name | REGINA MCNAMARA LCSW, LISW-CP
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Gender | Female
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 325 ROCKY SLOPE RD STE 104
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City | GREENVILLE
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State | SC
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Zip | 29607-7815
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Country | US
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Telephone | 843-256-3910
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Fax | 864-818-4972
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Provider Business Mailing Address
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Address Line | 325 ROCKY SLOPE RD STE 104
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City | GREENVILLE
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State | SC
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Zip | 29607-7815
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Country | US
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Telephone | 843-256-3910
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Fax | 866-626-4469
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 59256
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904012156
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13182
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License Number State | SC
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