Healthcare Provider Details

I. General information

NPI: 1205032828
Provider Name (Legal Business Name): CHRISTINE MARIE URBAN MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 PLEASANT ST
NEW BEDFORD MA
02740-6728
US

IV. Provider business mailing address

215 RICHARD ST
DARTMOUTH MA
02748-2612
US

V. Phone/Fax

Practice location:
  • Phone: 508-996-8572
  • Fax: 508-991-8618
Mailing address:
  • Phone: 508-993-0977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2023827
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2023827
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: