Individual ProviderRegina Robin Anderson-SpannSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5000 W. National Avenue, Milwaukee, WI 53295(414) 531-7165PECOS EnrollmentBased on the most recent information from CMS, provider Regina Robin Anderson-Spann does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1730286295Provider TypeIndividualFull NameAnderson-Spann, Regina RobinTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date9/19/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address5000 W. National Avenue, Milwaukee, WI 53295Phone(414) 531-7165Fax(414) 342-2207Mailing LocationMailing Address5000 W. National Avenue, Milwaukee, WI 53295Phone(414) 531-7165Fax(414) 342-2207Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCSW0000006513Tennessee