Provider Demographics
NPI:1073751525
Name:URBAN, LAUREN A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:A
Last Name:URBAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:LAUREN
Other - Middle Name:A
Other - Last Name:URBAN-COLACICCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1025 SENECA AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11385-5800
Mailing Address - Country:US
Mailing Address - Phone:646-504-2687
Mailing Address - Fax:
Practice Address - Street 1:1025 SENECA AVE
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NY
Practice Address - Zip Code:11385-5800
Practice Address - Country:US
Practice Address - Phone:646-504-2687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0869791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical