| Doctor Name: | JEFFREY JOSEPH URGO |
| NPI Number: | 1013013879 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW |
| License Number: | I0005688 |
| Business Practice Address: | 1756 Sagamore Rd Northfield, OH - 440671086 |
| Business Phone Number: | 3304677131 |
| Business Fax Number: | |
| Mailing Address: | 30 E Broad St, 11th Fl COLUMBUS |
| State: | OH |
| Postal Code: | 432153414 |
| Phone Number: | 6144669930 |
| Fax Number: | 6146449116 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I0005688 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |