Healthcare Provider Details

I. General information

NPI: 1073483459
Provider Name (Legal Business Name): ADEN URBANIAK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2025
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 BENFIELD BLVD
MILLERSVILLE MD
21108-3002
US

IV. Provider business mailing address

506 HIDDEN VALLEY CT
SEVERN MD
21144-2235
US

V. Phone/Fax

Practice location:
  • Phone: 667-600-2494
  • Fax:
Mailing address:
  • Phone: 706-267-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number31909
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: