Provider Demographics
NPI:1265684179
Name:NADIR, REGINA MILLER (LICSW, LCSW-C, LCSW)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:MILLER
Last Name:NADIR
Suffix:
Gender:F
Credentials:LICSW, LCSW-C, LCSW
Other - Prefix:
Other - First Name:REGINA
Other - Middle Name:MILLER
Other - Last Name:NADIR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LICSW, LCSW-C, LCSW
Mailing Address - Street 1:7310 RITCHIE HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-3065
Mailing Address - Country:US
Mailing Address - Phone:443-758-8007
Mailing Address - Fax:
Practice Address - Street 1:7310 RITCHIE HWY STE 200
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3065
Practice Address - Country:US
Practice Address - Phone:443-758-8007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500784611041C0700X
MD136671041C0700X
VA09040123761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical