Active NPI
Jordan Matthew Nodelman, LCSW, LICSW, BCD
- Clinical Social Worker
- Wilton Manors, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW18058
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| LC200001605 | DC | MD | Clinical Social Worker |
| 34672 | MD | MD | Clinical Social Worker |
| 0904012773 | VA | MD | Clinical Social Worker |
| 089.0136286TELE | VT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nodelman Counseling & Psychotherapy, LLC | Current | 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.
-
- Adult Mental Health Clinic/Center
- Wilton Manors, FL
- NPI 1770161408
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2026; 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.