Provider Demographics
NPI:1144411687
Name:TUMIN, REGINA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:TUMIN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 OCEAN AVE
Mailing Address - Street 2:#202
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-1015
Mailing Address - Country:US
Mailing Address - Phone:310-203-1422
Mailing Address - Fax:310-450-3404
Practice Address - Street 1:1245 WILSHIRE BLVD
Practice Address - Street 2:SUITE 505
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90017-4810
Practice Address - Country:US
Practice Address - Phone:310-203-1422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA229651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical