Regina Gerard Kujawa, LCSW
Social Worker, Clinical in Winston Salem, NC. Individual provider (NPI-1).
NPI number1447428693
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1447428693
- Entity type
- Individual (NPI-1)
- Name
- Ms. Regina Gerard Kujawa
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 11, 2008
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C005733 | NC | Yes |
| 104100000X | Social Worker | C005753 | NC | |
| 104100000X | Social Worker | SW6677 | FL |
Practice location
175 Kimel Park Dr Ste 100Winston Salem, NC 27103-6951
Phone 336-718-3550 · Fax 336-277-1825
Mailing address
Po Box 751803Charlotte, NC 28275-1803
Other practice locations
1904 Kello Dr
Greensboro, NC 27455
Greensboro, NC 27455
Phone 336-286-6405
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