Kelly Urban, PH.D.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11975 Issued in FL

Practice address

6701 Seagate Dr
Navarre, FL 32566-7452

Phone

(228) 229-4125

NPI assigned

Feb 18, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430611200000",
    "number": "1326287145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 SEAGATE DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667452",
            "telephone_number": "228-229-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 SEAGATE DR",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667452",
            "telephone_number": "228-229-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "KELLY",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-18",
        "last_updated": "2015-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "33841",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11975",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C8157",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5855",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487159-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica R Tokarev, M.ED, BCBA
• Cuc Thu Tran
• Huy Gia Tran, PHARMD
• Trauma Solutions, LLC
• Lexie Marie Trudeau, MSW
• Jessica Urgilez, NP
• Catherine A. Valentino, DOT
• Susan Vandivier
• Claire Vanlandingham, OTR/L, MOT
• Gina Vaughn, MSW

• Clinical Social Worker in Navarre, FL
• Providers in Navarre, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2015; 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.