Ur Space LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

UR SPACE LLC

Practice address

1209 John Fitch Blvd Unit 2a
South Windsor, CT 06074-2483

Phone

(860) 830-1832

NPI assigned

Nov 22, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Virna R Powell, LCSWNPI 1740999598

Title

Licensed Clinical Social Worker

Phone

(860) 830-1832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virna R Powell, LCSW

  • Clinical Social Worker
  • South Windsor, CT
  • NPI 1740999598
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1871319913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 JOHN FITCH BLVD UNIT 2A",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742483",
            "telephone_number": "860-830-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 JOHN FITCH BLVD UNIT 2A",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060742483",
            "telephone_number": "860-830-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UR SPACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2025-03-05",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "VIRNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "860-830-1832",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in South Windsor, CT
• Providers in South Windsor, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.