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

Thomas Udenberg, LICSW

Individual provider Clinical Social Worker · NPI 1184324683

Thomas Udenberg, LICSW is a Clinical Social Worker in Cloquet, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.

Licensed in
MN
In the registry since
2023
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1003 Cloquet Ave Ste 109
Cloquet, MN 55720-1694
Phone: (218) 606-1797
Fax: (651) 925-0039
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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 27394 (MN)

Record details

NPI number1184324683
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorYes
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 4, 2023
Mailing address324 W Superior St, Duluth, MN 55802-1701

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