Active NPI
Odyssey Wellness PLLC
- Clinical Social Worker
- Mooresville, NC
National Provider Identifier
1134042708
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- ODYSSEY WELLNESS PLLC
- Practice address
- 344 Rolling Hill Rd Ste 101B
Mooresville, NC 28117-6865 - Phone
- (407) 777-4373
- NPI assigned
- Jul 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Vanessa Gonzalez, LCSW
- Title
- Owner/Manager
- Phone
- (407) 777-4373
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
344 Rolling Hill Rd Ste 101B
Mooresville, NC 28117-6865
Mailing address
4030 Wake Forest Rd Ste 349
Raleigh, NC 27609-0010
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785456000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1134042708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4030 WAKE FOREST RD STE 349",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276090010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "344 ROLLING HILL RD STE 101B",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281176865",
"telephone_number": "407-777-4373"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ODYSSEY WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-31",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "VANESSA",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "407-777-4373",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.