Provider Demographics
NPI:1003286923
Name:ORSI, REGINA (LCSW, MS, CHT)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:ORSI
Suffix:
Gender:F
Credentials:LCSW, MS, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 BONNELL ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-5632
Mailing Address - Country:US
Mailing Address - Phone:845-342-2993
Mailing Address - Fax:845-342-2993
Practice Address - Street 1:4 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NY
Practice Address - Zip Code:10918-1255
Practice Address - Country:US
Practice Address - Phone:914-643-5700
Practice Address - Fax:845-342-2993
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0832271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical