KELLY URBAN (NPI# 1326287145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326287145 |
| Entity Type | Individual |
| Full Name | KELLY URBAN |
| Credential | PH.D. |
| Practice Address |
6701 Seagate Dr Navarre FL 32566-7452 |
| Practice Telephone | 2282294125 |
| Mailing Telephone | 2282294125 |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2015-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
5855 | TN | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C8157 | MS | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
SW11975 | FL | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
33841 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 1487159-01 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770844292 | Kelly Ann Urban | Speech-Language Pathologist | 100 W. Main Street, Suite 112, Lansdale, PA 19446 | 2012-05-31 |
| 1568796217 | Kelly Davis Urban | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2009-09-29 |
| 1508017047 | Kelly Delaney Urban | Counselor | 10 Concord Ave, Cambridge, MA 02138 | 2008-10-02 |
| Street Address |
6701 SEAGATE DR |
| City | NAVARRE |
| State | FL |
| Zip Code | 32566-7452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639795347 | Carole Anne Basel | Developmental Therapist | Emerald Coast Behavior Inc, 8418 E Bay Blvd, Navarre, FL 32566 | 2020-06-18 |
| 1639793276 | Holley-navarre Pharmacy & Gifts | Pharmacy | 8440 Nevada St., Navarre, FL 32566 | 2020-05-29 |
| 1144875154 | Rhonda C Brousseau | Technician | 3115 Holley Point Road, Navarre, FL 32566 | 2019-08-06 |
| 1710334784 | Earnestine Carswell | Counselor | 7552 Navarre Pkwy Unit 24, Navarre, FL 32566 | 2016-05-19 |
| 1912383100 | Elsa L Konkolics | Nurse Practitioner | 220 Navarre Pkwy, Navarre, FL 32566 | 2015-08-11 |
| 1457790875 | Caige Carter Chapman | Military Health Care Provider | 1935 Jo Tam Lane, Navarre, FL 32566 | 2013-06-19 |
| 1891046785 | Tamara L Fernald | Massage Therapist | 1796 Navarre Sound Cir., Navarre, FL 32566 | 2012-10-02 |
| 1669737383 | Kelly Anne Blackburn | Occupational Therapist | 2287 Meadow Mist Ct, Navarre, FL 32566 | 2012-07-09 |
| 1568603702 | First Class Md, Pa | Clinic/Center | 7552 Navarre Parkway, Suite 5, Navarre, FL 32566 | 2009-03-18 |
| 1780806596 | Elizabeth Gazzola Brazeau | Occupational Therapist | 7347 Brewster Street, Navarre, FL 32566 | 2007-05-02 |
| Find all providers in zip 32566 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083729 | Phoenix Marie Klemann | Social Worker | 3311 Mona Dr, Navarre, FL 32566-9742 | 2020-11-05 |
| 1457987463 | Jessica Lynn Hughes | Social Worker | 1766 Sea Lark Ln, Navarre, FL 32566-8190 | 2020-03-21 |
| 1275083313 | Niesia Deshae Garza | Social Worker | 1754 Sea Lark Ln, Navarre, FL 32566-7406 | 2016-10-13 |
| 1538556238 | Lauren Baer | Social Worker | 7496 Harvest Village Ct, Navarre, FL 32566-7314 | 2015-04-20 |
| 1427488451 | Joanne Jacobs | Social Worker | 2397 Hemlock Dr, Navarre, FL 32566-7833 | 2013-11-12 |
| 1073864658 | Anne Berteau,lcsw,llc | Social Worker | 1774 Sea Lark Ln, Navarre, FL 32566-7472 | 2012-09-24 |
| 1730466657 | Raymond Oliver Sizemore | Social Worker | 2128 Hillary Ln, Navarre, FL 32566-2838 | 2011-11-06 |
| 1487969846 | Jane Marie Dawson | Social Worker | 9757 Parker Lake Cir, Navarre, FL 32566-4806 | 2010-08-10 |
| 1093764987 | C Jim Bynum | Social Worker | 1900 Hwy 87, Unit G, Navarre, FL 32566-2831 | 2006-05-08 |
| 1497704449 | Diana Mousseau | Social Worker | 1900 Highway 87, Suite G, Navarre, FL 32566-1061 | 2006-05-08 |
| Find all providers in NAVARRE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.