Active NPI
Audrey Ann Urbanczyk, LCSWR
- Social Worker
- Buffalo, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 00039459
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00039459 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Dale Association, Inc. | Current | Accepting new patients | |
| Doppler Psychology Services at Home PC | Current | Accepting new patients | |
| Daniel Craigie | Social Worker | Past | 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.
-
- Cognitive & Behavioral Psychologist
- Fort Lee, NJ
- NPI 1396338364
NY
-
- Mental Health Counselor
- North Tonawanda, NY
- NPI 1962407783
-
- Social Worker
- North Tonawanda, NY
- NPI 1720738081
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.