Samantha Marie Urena, 1041C0700X

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW127159 Issued in CA

Practice address

805 N Central Ave Unit 200
Glendale, CA 91203-1230

Phone

(818) 630-7480

NPI assigned

Sep 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1487376380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 E BROADWAY",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912051010",
            "telephone_number": "818-630-7480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 N CENTRAL AVE UNIT 200",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912031230",
            "telephone_number": "818-630-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URENA",
        "first_name": "SAMANTHA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "1041C0700X",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW127159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Universal Primary Care
• Universal Primary Care
• University of Southern California (USC Verdugo Hills Hospital)
• Unlimited Care Hospice, Inc.
• Unlimited Home Health Services
• Lyle Patrick Ureta
• Urgent Diagnostic Imaging Center, Inc
• Urgent Health Clinic Medical Group Inc
• Urgent Home Health Services
• Urgent Orthopedic

• Clinical Social Worker in Glendale, CA
• Providers in Glendale, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.