Individual provider Active NPI

Jada Lynn Urquhart, LISW

  • Clinical Social Worker
  • Marion, OH
National Provider Identifier
1093354987
Registry record updated Dec 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
670 Marion Williamsport Rd E
Marion, OH 43302-8683
Phone
(740) 387-7040
NPI assigned
Dec 25, 2019
Last updated
Dec 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1901982 OH
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

670 Marion Williamsport Rd E
Marion, OH 43302-8683

Mailing address

2885 County Road 24
Cardington, OH 43315-9314
Phone (419) 864-3232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
I.1901982OHMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1577232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577232000000",
    "number": "1093354987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 COUNTY ROAD 24",
            "city": "CARDINGTON",
            "state": "OH",
            "postal_code": "433159314",
            "telephone_number": "419-864-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MARION WILLIAMSPORT RD E",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433028683",
            "telephone_number": "740-387-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUHART",
        "first_name": "JADA",
        "middle_name": "LYNN",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-25",
        "last_updated": "2019-12-25",
        "certification_date": "2019-12-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1901982",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 25, 2019; 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.