Active NPI
Doris Urrea, LCSW
- Clinical Social Worker
- Jackson Heights, NY
National Provider Identifier
1902990526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R034058-1
- Practice address
- 37-20 76TH Street
Jackson Heights, NY 11372 - Phone
- (718) 478-1526
- Fax
- (718) 429-0738
- NPI assigned
- Oct 3, 2006
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R034058-1 | NY | Primary |
Addresses
Primary practice location
37-20 76TH Street
Jackson Heights, NY 11372
Mailing address
225 East 36TH Street Apt 17-G
New York, NY 10016
Phone (718) 478-1526
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181033 | Other | NY | ELDERPLAN |
| R034058-A37 | Other | NY | HEALTHFIRST |
| P3178509 | Other | NY | OXFORD HEALTH PLAN |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R034058-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Service Program for Older People, Inc | Current | Accepting new patients | |
| Service Program for Older People | Past | Accepting new patients | |
| Institute for the Puerto Rican Hispanic Elderly Inc. | Clinical | Past | Accepting new patients |
| Samuel Field Ym&Ywha | Past | Accepting new patients |
Locations
188 W 88th St
New York, NY 10024
Phone 2127877120 ext. 139
302 W 91st St
Apt 2
New York, NY 10024
302 W 91st St
New York, NY 10024
Phone 2127877120528
Organizations & group practices 4
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.
-
- Geriatric Psychiatry Physician
- New York, NY
- NPI 1740211143
-
- Clinical Social Worker
- Jackson Heights, NY
- NPI 1093800211
-
- Adult Mental Health Clinic/Center
- Little Neck, NY
- NPI 1205862950
-
- Community/Behavioral Health Agency
- New York, NY
- NPI 1831644657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1902990526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 EAST 36TH STREET APT 17-G",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10016",
"telephone_number": "718-478-1526",
"fax_number": "718-429-0738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37-20 76TH STREET",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "11372",
"telephone_number": "718-478-1526",
"fax_number": "718-429-0738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "URREA",
"first_name": "DORIS",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R034058-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ELDERPLAN",
"identifier": "181033",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHFIRST",
"identifier": "R034058-A37",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P3178509",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.