Provider Demographics
NPI:1962107730
Name:HARKER, REGAN MCKENNA (LCSW)
Entity type:Individual
Prefix:
First Name:REGAN
Middle Name:MCKENNA
Last Name:HARKER
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 1:6906 WELBOURNE LN
Mailing Address - Street 2:
Mailing Address - City:CROZET
Mailing Address - State:VA
Mailing Address - Zip Code:22932-3346
Mailing Address - Country:US
Mailing Address - Phone:434-987-6040
Mailing Address - Fax:
Practice Address - Street 1:6906 WELBOURNE LN
Practice Address - Street 2:
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932-3346
Practice Address - Country:US
Practice Address - Phone:434-987-6040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040091301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical