Individual provider Active NPI

Mykhia Odom, LCSW

  • Clinical Social Worker
  • Wilmington, DE
National Provider Identifier
1194619007
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
Q1-0012715 Issued in DE
Practice address
4550 New Linden Hill Rd
Suite 152
Wilmington, DE 19808
Phone
(302) 683-1055
NPI assigned
Jun 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Q1-0012715 DE Primary

Addresses

Primary practice location

4550 New Linden Hill Rd
Suite 152
Wilmington, DE 19808

Mailing address

4550 New Linden Hill Rd
Suite 152
Wilmington, DE 19808
Phone (302) 683-1055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4550 Linden Hill Rd
Suite 152
Wilmington, DE 19808-2909

4550 Linden Hill Rd
Suite 152
Wilmington, DE 19808-2915

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0012715DEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond State Counseling, LLC CurrentSince Jun 8, 2025 Accepting new patients

Locations

4550 Linden Hill Rd
Ste 152
Wilmington, DE 19808
Phone (302) 683-1055

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1194619007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 NEW LINDEN HILL RD",
            "address_2": "SUITE 152",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-683-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 NEW LINDEN HILL RD",
            "address_2": "SUITE 152",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "19808",
            "telephone_number": "302-683-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "MYKHIA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.