Connie D Dayanara Urgiles, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

126319-01 Issued in NY

Practice address

3708 91St St Ste 3a
Jackson Heights, NY 11372-7962

Phone

(718) 779-2263

NPI assigned

Jan 8, 2025

Last updated

Jan 8, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Providers of Western Queens

  • Community/Behavioral Health Agency
  • Jackson Heights, NY
  • NPI 1104200294
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1053121566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 GRANADA CRES APT 3-10",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106031224",
            "telephone_number": "646-732-8164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 91ST ST STE 3A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727962",
            "telephone_number": "718-779-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URGILES",
        "first_name": "CONNIE D",
        "middle_name": "DAYANARA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "126319-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kenneth Tynan, LMSW
• Tiana Nichelle Tyndall, DDS
• Joanne Tzortzatos, MS,CCC-A, AUD
• United Dental Office PC
• Ashley Urena, LMSW
• Emily Kate Urgiles
• Doris Urrea, LCSW
• V.N. Sehgal, P.C.
• Laura Nan Vaccaro, LCSW
• Krista Chanel Valdez, PTA

• Social Worker in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.