Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Kristie Marie Urdahl, LCSW

Individual provider Clinical Social Worker · NPI 1922725308

Mrs. Kristie Marie Urdahl, LCSW is a Clinical Social Worker in Patchogue, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

201 Sunrise Hwy W
Patchogue, NY 11772-1868
Phone: (631) 289-2200
Fax: (631) 286-6955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 084014 (NY)

Record details

NPI number1922725308
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 26, 2022
Last updated in NPPESOctober 26, 2022
Certification dateOctober 26, 2022

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