Individual provider Active NPI

Andrea Jeannine Urbanek, LCSW

  • Clinical Social Worker
  • Round Rock, TX
National Provider Identifier
1245761113
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
58933 Issued in TX
Practice address
1516 E Palm Valley Blvd
Round Rock, TX 78664-4619
Phone
(512) 402-3037
NPI assigned
Mar 23, 2017
Last updated
Nov 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 58933 TX Primary

Addresses

Primary practice location

1516 E Palm Valley Blvd
Round Rock, TX 78664-4619

Mailing address

4600 N Mays St Apt 1442
Round Rock, TX 78665-1528
Phone (737) 786-1044

Other names 1

  • Andrea Jeannine Patterson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58933TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Deer Oaks Geriatric Services P C CurrentSince Aug 1, 2022 Accepting new patients
Assurasource LTD Clinical CurrentSince May 20, 2022 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 5, 2021 Accepting new patients

Locations

400 N Allen Dr
Ste 204
Allen, TX 75013

2021 Guadalupe St
Ste 260
Austin, TX 78705
Phone (202) 932-9958

7272 Wurzbach Rd
Ste 706
San Antonio, TX 78240
Phone (210) 615-3401

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1245761113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 N MAYS ST APT 1442",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651528",
            "telephone_number": "737-786-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E PALM VALLEY BLVD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644619",
            "telephone_number": "512-402-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANEK",
        "first_name": "ANDREA",
        "middle_name": "JEANNINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-23",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "58933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PATTERSON",
            "middle_name": "JEANNINE",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.