Provider Demographics
NPI:1184516874
Name:URBEN, ALEXANDRE NICOLE (ASW)
Entity type:Individual
Prefix:
First Name:ALEXANDRE
Middle Name:NICOLE
Last Name:URBEN
Suffix:
Gender:F
Credentials:ASW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3404
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92519-3404
Mailing Address - Country:US
Mailing Address - Phone:727-742-2404
Mailing Address - Fax:
Practice Address - Street 1:3021 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-3337
Practice Address - Country:US
Practice Address - Phone:800-499-3008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1312221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical