Ms Amber Nicole Odom, MSW, LCSW(CA 129938) is a medicare enrolled "Social Worker - Clinical" provider in Diamond Springs, California. She graduated from healthcare school in 2019 and has 7 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
4250 Fowler Ln Ste 204, Diamond Springs, California. You can reach out to her office (for appointments etc.) via phone at
(530) 626-3105.
Ms Amber Nicole Odom is licensed to practice in California (license number LCSW129938) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1619327947.
Healthcare Provider's Profile
| Full Name | Ms Amber Nicole Odom |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 7 Years |
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| Location | 4250 Fowler Ln Ste 204, Diamond Springs, California |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Amber Nicole Odom graduated from medical school in 2019
NPI Data:
- NPI Number: 1619327947
- Provider Enumeration Date: 06/17/2016
- Last Update Date: 06/01/2025
Medicare PECOS Information:
- PECOS PAC ID: 2860992500
- Enrollment ID: I20250826002443
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 |
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| 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
enrolled with medicare and thus, if eligible, can 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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