Provider Demographics
NPI:1346134756
Name:URQUILLA, VERONICA (MSW, LGSW)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:URQUILLA
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5317 42ND AVE
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781-1934
Mailing Address - Country:US
Mailing Address - Phone:202-669-9173
Mailing Address - Fax:
Practice Address - Street 1:5317 42ND AVE
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20781-1934
Practice Address - Country:US
Practice Address - Phone:202-669-9173
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50078511104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker