Individual provider Active NPI

Jennifer Chapple Urbach, LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1720272214
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
35070 Issued in TX
Practice address
2539 S Gessner Rd
Suite 24
Houston, TX 77063-2034
Phone
(713) 392-4747
Fax
(713) 264-8638
NPI assigned
Aug 28, 2007
Last updated
Sep 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 35070 TX Primary

Addresses

Primary practice location

2539 S Gessner Rd
Suite 24
Houston, TX 77063-2034

Mailing address

2539 S Gessner Rd
Suite 24
Houston, TX 77063-2034
Phone (713) 963-0233

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
35070TXMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1720272214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2539 S GESSNER RD",
            "address_2": "SUITE 24",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632034",
            "telephone_number": "713-963-0233",
            "fax_number": "713-264-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2539 S GESSNER RD",
            "address_2": "SUITE 24",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770632034",
            "telephone_number": "713-392-4747",
            "fax_number": "713-264-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBACH",
        "first_name": "JENNIFER",
        "middle_name": "CHAPPLE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-28",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.