Crystal Odeh, MSW, LICSW is a
Social Worker - Clinical based in Saint Paul, Minnesota. Crystal Odeh is licensed to practice in Minnesota (license number 31400) and her current practice location is
2446 University Ave W Ste 104, Saint Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(612) 235-6743.
NPI number for Crystal Odeh is 1568244697 and her current mailing address is 2446 University Ave W Ste 104, Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1568244697.
Healthcare Provider's Profile
| Full Name | Crystal Odeh |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 2446 University Ave W Ste 104, Saint Paul, Minnesota |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1568244697
- Provider Enumeration Date: 10/13/2023
- Last Update Date: 07/17/2025
Medical Identifiers
Medical identifiers for Crystal Odeh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1568244697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 31400 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 31400 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Odeh is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Crystal Odeh, MSW, LICSW 2446 University Ave W Ste 104, Saint Paul, MN 55114-1945 Ph: (612) 235-6743 | Crystal Odeh, MSW, LICSW 2446 University Ave W Ste 104, Saint Paul, MN 55114-1945 Ph: (612) 235-6743 |
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