Provider Demographics
NPI:1326116047
Name:URBINATI, KRISTIN ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:ANN
Last Name:URBINATI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3643 N. ROXBORO ST
Mailing Address - Street 2:BEHAVIORAL HEALTH OUTPATIENT CENTER
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-3143
Mailing Address - Country:US
Mailing Address - Phone:919-470-6413
Mailing Address - Fax:919-681-8627
Practice Address - Street 1:3643 N ROXBORO ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2702
Practice Address - Country:US
Practice Address - Phone:919-470-6413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS211011041C0700X
NCCO113311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical