Individual provider Active NPI

Stephanie Urbina, LCSW

  • Clinical Social Worker
  • Chino, CA
National Provider Identifier
1699381608
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW128118 Issued in CA
Practice address
12530 10TH St Ste C
Chino, CA 91710-3520
Phone
(909) 248-3434
NPI assigned
Sep 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW100326 CA
Clinical Social Worker 1041C0700X ASW100326 CA
Clinical Social Worker 1041C0700X LCSW128118 CA Primary

Addresses

Primary practice location

12530 10TH St Ste C
Chino, CA 91710-3520

Mailing address

12530 10TH St Ste C
Chino, CA 91710-3520
Phone (909) 248-3434

Other practice location 1

27200 Tourney Rd Ste 175
Santa Clarita, CA 91355-4990
Phone (213) 590-5882

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XOtherCACHILDRENS BUREAU

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
ASW100326CAMDMental Health Counselor
LCSW128118CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
All for Kids Organization CurrentSince Dec 1, 2023 Accepting new patients
Nixon Psychological Institute, Inc. Clinical CurrentSince Mar 20, 2025 Accepting new patients

Locations

12530 10th St
Ste C
Chino, CA 91710
Phone (909) 248-3434

27200 Tourney Rd
Ste 175
Valencia, CA 91355
Phone (661) 705-4670

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": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1699381608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12530 10TH ST STE C",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103520",
            "telephone_number": "909-248-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12530 10TH ST STE C",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103520",
            "telephone_number": "909-248-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27200 Tourney Rd Ste 175",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913554990",
            "country_code": "US",
            "telephone_number": "213-590-5882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URBINA",
        "first_name": "STEPHANIE",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-16",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW100326",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW100326",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW128118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS BUREAU",
            "identifier": "1041C0700X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.