Janet Urdahl, LCSW, CADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q1-0000741 Issued in DE

Practice address

20374 Blue Point Dr Unit 3302
Rehoboth Beach, DE 19971-1577

Phone

(302) 258-7024

NPI assigned

Feb 16, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Mind and Body Consortium, LLC.Group PAC ID 9739234014, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Mind and Body Consortium, LLC.

  • Psychiatry Physician
  • Dover, DE
  • NPI 1316186539

  Clinical

  Medicare reassignment Care Compare group NPD
• Horizon House - Delaware Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, DE
  • NPI 1881719268
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1487798203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20374 BLUE POINT DR UNIT 3302",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20374 BLUE POINT DR UNIT 3302",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199711577",
            "telephone_number": "302-258-7024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 E Main St",
            "address_2": "ECHO Center",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "DE",
            "postal_code": "197091463",
            "country_code": "US",
            "telephone_number": "302-449-2093 x101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URDAHL",
        "first_name": "JANET",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0000741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew J Tulloch, M.D.
• Christy M Tuske, PAC
• Denise B Tyler, R PH
• Audrey Umschlag, RN
• Unity Behavioral Health, LLC
• Kyle Vaitukaitis
• Shawna Van Scoyoc, PSYD
• Dustin Venables, DMD
• Tina R Vincent Torres, FNP-BC
• Katelyn Melissa Vincent, DMD

• Clinical Social Worker in Rehoboth Beach, DE
• Providers in Rehoboth Beach, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.