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NPI Code Detail

MEDICARE: LAUREN URBAN LCSW PSYCHOTHERAPY PC

MEDICARE: LAUREN URBAN LCSW PSYCHOTHERAPY PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1841976487
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAUREN URBAN LCSW PSYCHOTHERAPY PC
Provider Business Mailing Address
First Line : 1025 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5800
Country : US
Telephone Number : 646-504-2687
Fax Number :
Provider Business Practice Location Address
First Line : 1025 SENECA AVE
Second Line :
City : RIDGEWOOD
State : NY
Zip : 11385-5800
Country : US
Telephone Number : 646-504-2687
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : LAUREN ANN URBAN
Credential : LCSW
Telephone Number : 646-504-2687
Provider Enumeration Date : 06/27/2023
Last Update Date : 06/27/2023

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Directions to “LAUREN URBAN LCSW PSYCHOTHERAPY PC ” Practice Location

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