Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Regina Katherine Wisenbaker, LCSW

Individual provider Clinical Social Worker · NPI 1144654674

MS. Regina Katherine Wisenbaker, LCSW is a Clinical Social Worker in Valdosta, Georgia. Qualified in 2008, 18 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
18
Licensed in
GA
In the registry since
2013
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2704 N Oak St Bldg J
Valdosta, GA 31602-1768
Phone: (229) 262-7333
Fax: (229) 262-7335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW005046 (GA)

Record details

NPI number1144654674
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 3, 2013
Last updated in NPPESMarch 15, 2023
Certification dateMarch 15, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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