Provider Demographics
NPI:1437238805
Name:SANKEY, REGINA A (LCSW, MSW, PIP)
Entity Type:Individual
Prefix:MS
First Name:REGINA
Middle Name:A
Last Name:SANKEY
Suffix:
Gender:F
Credentials:LCSW, MSW, PIP
Other - Prefix:MS
Other - First Name:REGINA
Other - Middle Name:A
Other - Last Name:NELSON SANKEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW, MSW
Mailing Address - Street 1:PO BOX 242034
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36124-2034
Mailing Address - Country:US
Mailing Address - Phone:334-462-4834
Mailing Address - Fax:
Practice Address - Street 1:6654 TAYLOR RIDGE RD
Practice Address - Street 2:MONTGOMERY
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-6540
Practice Address - Country:US
Practice Address - Phone:334-462-4834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2019-05-22
Deactivation Date:2015-02-10
Deactivation Code:
Reactivation Date:2019-05-22
Provider Licenses
StateLicense IDTaxonomies
ALLCSW 0650C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker