Individual provider Active NPI

Jordan Matthew Nodelman, LCSW, LICSW, BCD

  • Clinical Social Worker
  • Wilton Manors, FL
National Provider Identifier
1770049116
Registry record updated Jun 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW18058 Issued in FL
Practice address
1881 NE 26TH St Ste 212F
Wilton Manors, FL 33305-1400
Phone
(754) 946-6600
NPI assigned
Feb 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904012773 VA
Clinical Social Worker 1041C0700X SW18058 FL Primary
Clinical Social Worker 1041C0700X 34672 MD
Clinical Social Worker 1041C0700X 089.0136286TELE VT
Clinical Social Worker 1041C0700X LC200001605 DC

Addresses

Primary practice location

1881 NE 26TH St Ste 212F
Wilton Manors, FL 33305-1400

Mailing address

1931 Cordova Rd # 152
Fort Lauderdale, FL 33316-2157
Phone (754) 300-6990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20210420001802 FL Practitioner - Clinical Social Worker 3476961053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Wilton Manors 1881 NE 26TH St
Suite 212F
Wilton Manors, FL 33305-1425
Phone (754) 300-6990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC200001605DCMDClinical Social Worker
34672MDMDClinical Social Worker
0904012773VAMDClinical Social Worker
089.0136286TELEVTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nodelman Counseling & Psychotherapy, LLC CurrentSince Jan 1, 2021 Accepting new patients

Locations

1931 Cordova Rd
Ft Lauderdale, FL 33316

1881 NE 26th St
Ste 212F
Wilton Manors, FL 33305
Phone (754) 300-6990

1881 NE 26th St
Ste 70
Wilton Manors, FL 33305
Phone (954) 317-3978

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780790400000",
    "number": "1770049116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 CORDOVA RD # 152",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162157",
            "telephone_number": "754-300-6990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 NE 26TH ST STE 212F",
            "city": "WILTON MANORS",
            "state": "FL",
            "postal_code": "333051400",
            "telephone_number": "754-946-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NODELMAN",
        "first_name": "JORDAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW, LICSW, BCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2026-06-07",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904012773",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18058",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "34672",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0136286TELE",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200001605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton Manors, FL

Sources for this page

Verify at the official NPI Registry.