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

Regina Bradburn, LSW

Individual provider Social Worker · NPI 1407745961

Regina Bradburn, LSW is a Mental Health Counselor in Muncie, Indiana. Qualified in 2022, 4 years ago. Practices with Still Waters Holdings, a 7-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2025
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

3301 W Purdue Ave
Muncie, IN 47304-6356
Phone: (765) 284-0043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 33011798A (IN)

Record details

NPI number1407745961
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorNo
NPI enumeratedJune 30, 2025
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Still Waters Holdings — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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