Provider Demographics
NPI:1487913174
Name:REGAN, CAITLIN DANIKA (MSW)
Entity type:Individual
Prefix:MS
First Name:CAITLIN
Middle Name:DANIKA
Last Name:REGAN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILLIAM WELCH WAY
Mailing Address - Street 2:ATTN: PES
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-8238
Mailing Address - Country:US
Mailing Address - Phone:508-872-1212
Mailing Address - Fax:508-872-3409
Practice Address - Street 1:354 WAVERLY ST
Practice Address - Street 2:ATTN: CAITLIN REGAN
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-7079
Practice Address - Country:US
Practice Address - Phone:508-872-1212
Practice Address - Fax:508-872-3409
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health