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

Regan R Eberhart, LCSW

Individual provider Mental Health Counselor · NPI 1508911959

Regan R Eberhart, LCSW is a Clinical Social Worker in Menasha, Wisconsin. Qualified in 2004, 22 years ago. Practices with Thedacare, Incorporated, a 654-clinician group and accepts Medicare assignment. Licensed in Washington and Wisconsin.

Years since qualifying
22
Licensed in
WA, WI
In the registry since
2007
Specialties on file
5
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

1095 Midway Rd
Menasha, WI 54952-1115
Phone: (920) 720-2300
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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 8795 (WI)
Mental Health Counselor Taxonomy 101YM0800X · Licence RC00056209 (WA)
Social Worker Taxonomy 104100000X · Licence LW60167698 (WA)
Social Worker Taxonomy 104100000X · Licence 8795 (WI)
Clinical Social Worker Taxonomy 1041C0700X · Licence LW60167698 (WA)

Record details

NPI number1508911959
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 24, 2007
Last updated in NPPESNovember 15, 2017

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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