Provider Demographics
NPI:1639506595
Name:REGUER, RONIT (LCSW)
Entity Type:Individual
Prefix:
First Name:RONIT
Middle Name:
Last Name:REGUER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 S DEWITT PL
Mailing Address - Street 2:
Mailing Address - City:MONTAUK
Mailing Address - State:NY
Mailing Address - Zip Code:11954-5065
Mailing Address - Country:US
Mailing Address - Phone:631-668-5690
Mailing Address - Fax:
Practice Address - Street 1:360 MONTAUK HWY
Practice Address - Street 2:
Practice Address - City:WAINSCOTT
Practice Address - State:NY
Practice Address - Zip Code:11975-2000
Practice Address - Country:US
Practice Address - Phone:631-808-3330
Practice Address - Fax:631-808-3330
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0782641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical