Individual provider Active NPI

Ledia Urbano, L.C.S.W., C.A.C.

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1639285646
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 5762 Issued in FL
Practice address
6848 Stirling Rd
Hollywood, FL 33024-1842
Phone
(954) 362-0104
Fax
(954) 364-4595
NPI assigned
Aug 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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 1038A FL
Clinical Social Worker 1041C0700X SW 5762 FL Primary

Addresses

Primary practice location

6848 Stirling Rd
Hollywood, FL 33024-1842

Mailing address

5706 Jefferson St
Hollywood, FL 33023-1450
Phone (954) 961-9536

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: Yes
  • 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
1038AFLMDAddiction (Substance Use Disorder) Counselor
SW 5762FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Reflections Wellness Center LLC PastSince Jun 12, 2017 Accepting new patients
Reflections Wellness Center of Broward Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1639285646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5706 JEFFERSON ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330231450",
            "telephone_number": "954-961-9536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6848 STIRLING RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330241842",
            "telephone_number": "954-362-0104",
            "fax_number": "954-364-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANO",
        "first_name": "LEDIA",
        "credential": "L.C.S.W., C.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "1038A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 5762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.