Jennifer Urban, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R057766 Issued in NY

Practice address

6456 New Taylor Rd
Orchard Park, NY 14127-2358

Phone

(716) 435-4320

Fax

(716) 929-8940

NPI assigned

Apr 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HEGDAA

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.

• Jennifer Mancuso Urban LCSW PLLC

  • Clinical Social Worker
  • Williamsville, NY
  • NPI 1417304486
  NPD (past) Authorized official
• Audubon Women'S Medical Associates, PC

  • Obstetrics & Gynecology Physician
  • Williamsville, NY
  • NPI 1770625600
  NPD (past)
• Horizon Health Services Inc

  • Community/Behavioral Health Agency
  • Getzville, NY
  • NPI 1043387152
  NPD (past)
• Lori Badach,LCSW, PLLC

  • Community/Behavioral Health Agency
  • Williamsville, NY
  • NPI 1548772312
  NPD (past)

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

{
    "created_epoch": "1270684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1659697258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6456 NEW TAYLOR RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272358",
            "telephone_number": "716-435-4320",
            "fax_number": "716-906-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6456 NEW TAYLOR RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272358",
            "telephone_number": "716-435-4320",
            "fax_number": "716-929-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "JENNIFER",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-08",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Steele Ungaro, D.D.S.
• University Orthopaedic Services Inc.
• University Orthopaedic Services Inc.
• University Orthopaedic Services, Inc.
• University Orthopaedic Services, Inc.
• Laura Ureta, MD
• Diana Vakante-Jankovic, M.D.
• Value Network LLC Ipa
• Julie Van Remmen
• Grace Vanhouten, MS, MHC-P

• Clinical Social Worker in Orchard Park, NY
• Providers in Orchard Park, 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 Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.