Provider Demographics
NPI:1952991861
Name:CASEY, REGINA (LICSW)
Entity Type:Individual
Prefix:
First Name:REGINA
Middle Name:
Last Name:CASEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 AUTUMN CIR
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-3370
Mailing Address - Country:US
Mailing Address - Phone:978-273-4655
Mailing Address - Fax:
Practice Address - Street 1:17 AUTUMN CIR
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-3370
Practice Address - Country:US
Practice Address - Phone:978-273-4655
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical