Ms Amber Nicole Odom, MSW, LCSW(CA 129938) is a
Social Worker - Clinical based in Diamond Springs, California. Ms Amber Nicole Odom is licensed to practice in California (license number LCSW129938) and her current practice location is
4250 Fowler Ln Ste 204, Diamond Springs, California. She can be reached at her office (for appointments etc.) via phone at
(530) 626-3105.
NPI number for Ms Amber Nicole Odom is 1619327947 and her current mailing address is 3600 Data Dr Apt 57, Rancho Cordova, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619327947.
Healthcare Provider's Profile
| Full Name | Ms Amber Nicole Odom |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 4250 Fowler Ln Ste 204, Diamond Springs, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619327947
- Provider Enumeration Date: 06/17/2016
- Last Update Date: 06/01/2025
Medical Identifiers
Medical identifiers for Ms Amber Nicole Odom such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619327947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW129938 (California) | 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. Ms Amber Nicole Odom 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 |
|---|
Ms Amber Nicole Odom, MSW, LCSW(CA 129938)
3600 Data Dr Apt 57,
Rancho Cordova, CA 95670-7907
Ph: (703) 853-0789 | Ms Amber Nicole Odom, MSW, LCSW(CA 129938)
4250 Fowler Ln Ste 204,
Diamond Springs, CA 95619-9782
Ph: (530) 626-3105 |
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