Individual provider Active NPI

Audrey Ann Urbanczyk, LCSWR

  • Social Worker
  • Buffalo, NY
National Provider Identifier
1861834939
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
00039459 Issued in NY
Practice address
20 Rich St
Buffalo, NY 14211-3020
Phone
(716) 895-7715
NPI assigned
Jul 18, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 00039459 NY Primary

Addresses

Primary practice location

20 Rich St
Buffalo, NY 14211-3020

Mailing address

741 Delaware Ave
Buffalo, NY 14209-2201
Phone (716) 218-1400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130807000172 NY Practitioner - Clinical Social Worker 9032351812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doppler Psychology Services at Home PCGroup PAC ID 2062821713, 16 clinicians

Practice addresses (Care Compare)

4 Medical Park Dr
Suite B
Pomona, NY 10970-3572
Phone (516) 810-1290

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00039459NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Dale Association, Inc. CurrentSince Jul 6, 2015 Accepting new patients
Doppler Psychology Services at Home PC CurrentSince Jun 1, 2024 Accepting new patients
Daniel Craigie Social Worker PastSince Apr 1, 2022 Accepting new patients

Locations

33 Ontario St
Lockport, NY 14094
Phone (716) 433-1937

89 River Rd
North Tonawanda, NY 14120
Phone (716) 693-9961

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1861834939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142092201",
            "telephone_number": "716-218-1400",
            "fax_number": "716-332-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 RICH ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142113020",
            "telephone_number": "716-895-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANCZYK",
        "first_name": "AUDREY",
        "middle_name": "ANN",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "00039459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.