Active NPI
Jennifer Brooke Urban, LCSW
- Clinical Social Worker
- Uvalde, TX
National Provider Identifier
1124354469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 41416
- Practice address
- 1022 Garner Field Rd
Suite C
Uvalde, TX 78801-4867 - Phone
- (830) 486-0960
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 41416 | TX | Primary |
Addresses
Primary practice location
1022 Garner Field Rd
Suite C
Uvalde, TX 78801-4867
Mailing address
PO Box 1521
Carrizo Springs, TX 78834-7521
Phone (830) 255-0455
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
| License | State | Type | Specialty |
|---|---|---|---|
| 41416 | TX | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1124354469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1521",
"city": "CARRIZO SPRINGS",
"state": "TX",
"postal_code": "788347521",
"telephone_number": "830-255-0455",
"fax_number": "830-876-0061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1022 GARNER FIELD RD",
"address_2": "SUITE C",
"city": "UVALDE",
"state": "TX",
"postal_code": "788014867",
"telephone_number": "830-486-0960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URBAN",
"first_name": "JENNIFER",
"middle_name": "BROOKE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "41416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Uvalde, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.