Provider Demographics
NPI:1861758104
Name:URCIUOLI, LAURA L (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:L
Last Name:URCIUOLI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:L
Other - Last Name:RICHARDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:21-29 WAGNER PLACE
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-1861
Mailing Address - Country:US
Mailing Address - Phone:973-399-3132
Mailing Address - Fax:973-399-7552
Practice Address - Street 1:42 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-1505
Practice Address - Country:US
Practice Address - Phone:609-891-8461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-11
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055918001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical