Jennifer Mancuso Urban LCSW PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R057766-1 Issued in NY

Legal business name

JENNIFER MANCUSO URBAN LCSW PLLC

Practice address

1360 N Forest Rd
Suite 102
Williamsville, NY 14221-1200

Phone

(716) 639-0016

NPI assigned

May 19, 2016

Last updated

May 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer M Urban, LCSW-RNPI 1659697258

Title

Owner

Phone

(716) 639-0016

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Urban, LCSW

  • Clinical Social Worker
  • Orchard Park, NY
  • NPI 1659697258
  NPD (past) Authorized official

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1417304486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 SOLDIER WOOD CIR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 N FOREST RD",
            "address_2": "SUITE 102",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211200",
            "telephone_number": "716-639-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER MANCUSO URBAN LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-639-0016",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057766-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Theresa Jaynes, RPH
• Amy Jean
• Niccole Michelle Jefferlone, D.C.
• Jeanette Jenkins, LPN
• Jennifer George Walsh MD PC
• Jenny L Cascio Registered Nurse Psychiatric Nurse Practitioner P.C.
• Sandra Jensen, PHD
• Christopher Michael Jermak, MD
• Hillary Jewula, FNP
• Gerald Rajish Jeyapalan, M.D.

• Clinical Social Worker in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.