Individual provider Active NPI

Marilyn V Urraya, LCSW, CASAC

  • Clinical Social Worker
  • Woodside, NY
National Provider Identifier
1356283295
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R044780 Issued in NY
Practice address
52-40 39TH Drive Woodside N.Y. 11377
Suite 1C
Woodside, NY 11377-4027
Phone
(347) 924-4563
NPI assigned
Apr 8, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 10873 NY
Clinical Social Worker 1041C0700X R044780 NY Primary

Addresses

Primary practice location

52-40 39TH Drive Woodside N.Y. 11377
Suite 1C
Woodside, NY 11377-4027

Mailing address

52-40 39TH Drive Woodside N.Y. 11377
Suite 1C
Woodside, NY 11377-4027
Phone (347) 924-4563

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
10873NYMDAddiction (Substance Use Disorder) Counselor
R044780NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1775606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1356283295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52-40 39TH DRIVE WOODSIDE N.Y. 11377",
            "address_2": "SUITE 1C",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774027",
            "telephone_number": "347-924-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52-40 39TH DRIVE WOODSIDE N.Y. 11377",
            "address_2": "SUITE 1C",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774027",
            "telephone_number": "347-924-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URRAYA",
        "first_name": "MARILYN",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "LCSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-04-08",
        "last_updated": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "10873",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R044780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.