Individual provider Active NPI

Doris Urrea, LCSW

  • Clinical Social Worker
  • Jackson Heights, NY
National Provider Identifier
1902990526
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R034058-1 Issued in NY
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

Updated by the provider on Jul 8, 2007

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 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

IdentifierTypeStateIssuer
181033OtherNYELDERPLAN
R034058-A37OtherNYHEALTHFIRST
P3178509OtherNYOXFORD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111203000020 NY Practitioner - Clinical Social Worker 1759556723 Reassigns benefits to 1 organization
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R034058-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Service Program for Older People, Inc CurrentSince Nov 30, 2015 Accepting new patients
Service Program for Older People PastSince Nov 30, 2015 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.

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

Verify at the official NPI Registry.